Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted the required unannounced annual inspection. LPA met with Arejinea Toney (DSP2) Ashley Ballinger (Administrator) and Juana Ivett Busby (23 /Fifteen General Manager) and explained the reason for the visit. The facility is licensed to serve Four (4) ambulatory (3 of which may be non-ambulatory) clients ages 18-59. Facility currently has three (3) ambulatory and one (1) non-ambulatory clients serviced by San Gabriel/Pomona Regional Center.

The facility is a single-story home located in a residential area in Duarte, CA. A tour of the facility includes: 4 bedrooms, 2 bathrooms, living room, kitchen, dining area, laundry closet, office area, front yard, back yard, and locked toolshed.

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility.

Physical Plant & Environment Safety: LPA toured facility, clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are centrally stored yet readily available for clients. The hot water temperature in both client bathrooms were tested and within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are kept in a locked and are inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguisher was observed and is fully charged. Three (3) outside window frames are in need of repair and/or paint.