Facility Evaluation Report

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced annual required visit at the facility. LPA Valenzuela met with Administrator Maura Panganiban, The purpose of the visit was discussed.

The facility is licensed for an Adult Residential Facility, capacity of 6 ambulatory clients. Facility is vendorized through San Gabriel Pomona Regional Center as a level 4G home. The facility is a single story, 3 bedroom home; All rooms are shred rooms. Water temperature was measured at 114.0 degrees F, all smoke detectors were operable and fire extinguishers were last serviced in May of 2023. A comfortable temperature of 76 degrees F. is maintained in the facility. There are no bodies of water, and LPA did not observe any accessible hazards.

LPA observed the kitchen to be clean and sanitary, and an adequate supply of perishable and non-perishable foods to be properly stored on site. Client rooms and bathrooms were adequately lit and furnished, all appeared to be sanitary and well-kept. All indoor and outdoor passageways were free of obstruction, and an adequate supply of spare linens and hygienic supplies is present.

There three complete first aid kits. Medication is stored in a cabinet by the kitchen, which is kept locked and inaccessible to clients. Sharp objects and hazardous chemicals are kept locked inside kitchen cabinets and are inaccessible to clients in care.

No deficiencies noted. Exit interview conducted. Signature obtained .