Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Cameron Clayton, Administrator and explained the purpose of the visit. The facility is licensed to care for six (6) Developmentally DIsabled clients age 18-59, approved for ambulatory only. All clients residing at this Specialized facility receive case management services provided by San Gabriel Pomona Regional Center. The facility is a level 4G. LPA observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. The staff stated that they use disposable gloves to clean and disinfect the high touched surfaces in the common areas. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan. Bathroom has hand washing signs and hand soap. Paper towels are provided to clients on a per use basis, but not kept in the bathrooms for safety reasons. Staff are adhering to infection control requirements. Physical Plant/Environment Safety: The facility is a single storey home located in a residential neighborhood, contains a total of (3) client bedrooms, (2) bathrooms, a living room, den used as activity area and office area, kitchen, dining area, backyard with shaded area, and detached garage. Currently, there are five (5) clients living in the facility. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. One bathroom is under renovation and not in use. The other bathroom has non-skid materials and contained hygiene supplies including liquid soap, and toilet paper. There is a fire place in the den that is not functioning. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and has a shaded area and sitting area. Laundry area is located next to the kitchen. There are (2) fire extinguishers located in the kitchen and in the den, was serviced on 09/18/2023. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. Water temperature reading measured within the required 105 - 120 degrees Fahrenheit. Reading was 107.2 deg. F in bathroom #1.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. A fire clearance is in place. Last Fire/Disaster Drill was conducted on 04/07/2024 and training conducted on a quarterly basis. Surety Bond is current and insured in the amount of $2000, valid through 10/13/2027.