Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Ramirez conducted an unannounced Annual Inspection visit on 05/03/2024. LPA Ramirez were met by Administrator Angela Nwaka and explained the purpose of the visit. This facility is licensed as an Adult Residential Facility and is serviced by San Gabriel/Pomona Regional Center. The facility is licensed to serve four (4) developmentally disabled clients ages 18 and above; of which all must be ambulatory. During today’s visit, LPA Ramirez observed one (1) direct support staff (DSP) providing direct care and supervision to clients in care. LPA Ramirez requested and obtained copies of Personnel Report, and Client Roster

LPA OBSERVATIONS: The facility is a single-story home that contains three (3) bedrooms, one (1) client bathroom, (1) staff bathroom, living room, kitchen, dining room, laundry room, backyard, and shaded patio area.

Front Yard: LPA Ramirez observed front yard to be free of hazards.

Kitchen: LPA Ramirez observed appliances to be clean and in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located kitchen cabinet, to be inaccessible to one (1) out of three (3) clients in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to one (1) out of three (3) clients in care. Signs promoting hand washing were observed in this area. Meal plan was observed in this area for clients in care.

Dining Room/Living room: Dining room was observed to contain one table with several chairs. The living room was observed to contain plenty of lighting. LPA Ramirez observed a fully charged fire extinguisher nearby. LPA Ramirez observed nearby thermostat to read 72 degrees F. LPA Ramirez observed one (1) client sitting in this area during inspection.