Facility Evaluation Report

Licensing Program Analyst (LPA) Vaid conducted an unannounced visit to the facility for the required annual inspection. LPA utilized the Compliance and Regulatory Enforcement Tool to evaluate the facility. LPA Vaid was allowed entry by Silvia Ulloa Licensee/Administrator and explained the purpose of the visit.

The facility is licensed to serve 4 ambulatory clients aged 18 to 59. Currently, there are three (3) clients in placement, clients are provided Case Management services by San Gabriel Pomona Regional Center.

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are disinfecting often for high touched surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan and Mitigation Plan. Bathrooms have hand washing signs, soap and paper towels. Per Facility Administrator is adhering to infection control requirements.

Operational Requirements: Fire Drills are conducted every three months. Emergency Disaster/ Earthquake Drills are conducted every three months. Last drills were conducted on 03/26/25.

Physical Plant & Environment Safety: The property is a single-family residence located in a residential neighborhood and consist of three (3) client bedrooms, one (1) client bathroom, one (1) staff bedroom, two (2) staff bathrooms, living room, kitchen, dining room, office, and laundry area in the attached garage. Playroom located in the rear of the facility. LPA observed appropriate furniture, lighting fixtures, personal storage space as required, Beds have adequate amount of linen and mattresses are in good repair.