Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Staff, Simon Shamon, and explained the purpose of the visit. Administrator, Maria Binotapa, arrived shortly thereafter to assist with the visit. The clients receive services from the San Gabriel/Pomona Regional Center.

LPA inspected and observed the following:

Infection Control: The facility is continuing to clean and disinfect daily. They are wearing gloves when necessary to assist clients and performing hand hygiene. Facility has submitted an Infection Control Plan.

Physical Plant & Environment Safety: The facility consists of 3 Client bedrooms, 1 Staff office, 2 bathrooms, living room, family room, kitchen, laundry area, and garage. The bedrooms are equipped with the required furnishings. Each client bedroom has a smoke/carbon monoxide combo detector. Knives and cleaning solutions are locked under the kitchen sink. There are no firearms or weapons stored at the facility and no swimming pool. There are extra hygiene supplies and clean linens observed.

Operational Requirements: The fire clearance is approved for (6) ambulatory clients. Staff are providing the care and supervision as necessary to meet the client's needs.

Staffing : There is sufficient staffing at the facility. Administrator (Maria Binotapa) Certificate expires 8/6/24 and the HIV/TB training are still current. Staff employed are fingerprint cleared and associated to the facility. Personnel Records-Training : Staff files are maintained at the facility. LPA reviewed files for 4 Staff. Staff files have current First Aid/CPR certification, Health Screening with TB test results, Employee Rights form, and on going training.

Client Rights-Information: There are no clients using postural supports. Clients are given internet service and devices to use.