Facility Evaluation Report

Licensing Program Analyst (LPA) Tyler Reyes conducted the required unannounced annual inspection. LPA met with Administrator Denise L. Hornal and explained the reason for the visit. Licensee prefers to serve Developmentally Disabled Adults ages 18-59 years. Fire cleared for 2 non-ambulatory and 13 ambulatory clients. Facility currently has (0) non-ambulatory and (14) ambulatory clients serviced by San Gabriel/Pomona Regional Center and Eastern Los Angeles Regional Center.

The facility is a single-story home located in a residential area in El Monte, CA. A tour of the facility includes: front yard, living room, dining room, TV room, kitchen, 8 client bedrooms, 4 client bathrooms, detached garage, and backyard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following with Administrator Denise L.Hornal:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. Facility 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. LPA Reyes observed with Administrator Hornal dog poop located on the side yard and backyard. Approximately 6 instances of dog poop were observed. The droppings were located along the side of the brick wall, by the shed, and the middle of the lawn. LPA observed two used cigarettes on an empty chair. LPA observed a desk, a dresser, and a bed frame situated on the back porch. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available for clients. The hot water temperature was tested in the client bathrooms and were 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 cabinet and are inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguishers was observed and is fully charged. Last Disaster Drill was completed December 21st, 2023, not within the required time frame. (Continued on 809-C)