Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection. The facility is licensed to serve four (4) ambulatory, age 18-59 clients. San Gabriel Pomona Regional Center provides case management service to clients residing in this home. Facility annual fees are current. LPA met Licensee, Jennifer Oglesby and discussed the purpose of today's visit.

The inspection consisted of applying CARE tool, conducting physical plant, reviewing staff/clients records /food supply/medications and interviewed staff/clients.

The facility is a single family home, located in a residential neighborhood in the city of Covina, consisted of three (3) client’s bedrooms, one (1) bathroom, a kitchen, a dining room, a living room, an administration office, backyard with shaded area, and a detached garage with laundry area. The kitchen is clean and has maintained the required two (2) days perishable and seven (7) days non- perishable. Clients’ bedrooms had the required furnishing and in compliance. Bathrooms were clean and operational. Common areas including the kitchen, living room, and dining room were inspected. Smoke and carbon monoxide detectors were dual, hardwired and in compliance. The last Fire/ Emergency Drill was conducted on 10/14/24. Hot water temperature measured at 106.5 degrees Fahrenheit. Hazardous items were locked and inaccessible to clients. Medications were centrally stored and locked in a cabinet. Medications records were properly logged. Hazardous items were locked and inaccessible to clients.

No deficiencies were cited per California Code of Regulations, Title 22, Division 6. An exit interview was conducted. LIC 809 was provided to Jennifer Oglesby, Licensee.