Senior Care Records.

Facility Evaluation Report

Grace Pineda's Home INC, Covina06/01/2026Licence 198603733

Capacity4
Census3
Date signed06/01/2026 05:59:09 PM
Name of licensing program analystSanjay Vaid
Name of licensing program managerFernando Fierros
The inspector’s account

Licensing Program Analyst (LPA) Vaid conducted an unannounced visit to the facility for the required annual inspection. LPA Vaid was allowed entry by Maria Pineda,Direct Staff Person, Administrator was notified and arrived shortly after 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.

LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility.

1.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 staff is adhering to infection control requirements.

2.Operational Requirements: Emergency Disaster/ Earthquake Drills are conducted quarterly. Last drills were conducted on 03/25/2026.

3.Physical Plant & Environment Safety: The property is a single-family residence located in a residential neighborhood and consists 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. Toilets and water faucets worked properly. LPA observed that sufficient toiletries accessible to clients. Water temperature measured between and is within range of 105.0 – 120 Degrees F. LPA observed the facility to be clean and appropriately furnished with clear passageways inside and outside.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction