Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection. LPA met with Gil Calingasan, Administrator and the purpose of today's visit was discussed.

The facility is licensed to serve four (4) developmentally disabled, ambulatory only clients, ages from 18 to 59 years old. San Gabriel Pomona Regional Center and Lanterman regional center provide cases management services to clients in this home. Annual fees are current.

LPA conducted the inspection by applying CARE inspection tool, staff/clients interviews, staff/client file reviews; physical plant; food supply review; and medications review. The home is located in a residential neighborhood in the city of Covina. The facility is a single family home consists of three (3) client bedrooms, two (2) bathrooms, living room, activity room, dining room, kitchen, and detached garage. The required two (2) days perishable and seven (7) days non- perishable are observed. Clients’ bedrooms have the required furnishing and in compliance. Adequate linen and personal hygiene supply are observed. Bathrooms are clean and operational. Smoke Detectors and carbon monoxide detectors were operable. Fire drill was conducted on 6/12/24. Fire extinguisher was fully charged. Comfortable temperature of 73 degree Fahrenheit for clients was maintained. Hot water temperature measured at 115.3 degrees Fahrenheit. Client beds were in good condition and had appropriate linens. Medications cabinet in the living for centrally store the medication is observed and inaccessible to the clients. Medication log is current. Hazardous / sharp items were locked and inaccessible to clients.

No deficiencies cited per California Code of Regulations, Title 22, Division 6 during the visit. An exit interview was conducted. This report is discussed and provided to facility Administrator.