Facility Evaluation Report

Licensing Program Analyst (LPA) Wong conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Natalie Montenegro-Hern, DSP at the facility and was granted access into the home. Administrator Cindy Garcia and Executive Assistant Sergio Merida arrived shortly to assist the annual inspection. The facility is vendored as Level 4 Specialized (Deaf and Hard of hearing) Home through the San Gabriel/Pomona Regional Center

1. Infection Control: Facility has an updated infection control plan in place. Facility staff continue to practice hand washing with clients and disinfect the high touch service area every hour Facility has sufficient PPE supplies.

2. Physical Environment and Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: living room, dining area, kitchen, four client's bedrooms, three client's bathrooms, cleaning supplies closet and attached garage with washer and dryer. The four clients bedrooms have one bed, one chair, one drawer, one night stand, required furniture and beddings and sufficient lighting and closet space. The three client's bathrooms are clean, sanitary and in a good working condition. The hot water temperature tested in all three bathrooms were 110.3 and 111.5 degrees F. which is within the Title 22 regulation. The sharp knives and utensils are stored and locked in the file cabinet near the kitchen. All the kitchen appliances are working well. All the chemicals and cleaning supplies are stored and locked in the supplies closet. The personal hygiene products are stored and locked in the supplies closet too. The facility has a phone service in the premises. The hallway night would be on during night time for client to access the non-private bathrooms. LPA inspected the carbon monoxide detectors and they are interconnected with the smoke detectors and they are all working well. The passage way, walkway and patio are free of obstruction.