Facility Evaluation Report

Licensing Program Analyst (LPA) Vasallo conducted a required annual visit. LPA met with Manager, Ruby Caballes and explained the reason for the visit. There are currently no clients in the home. The license became effective 11/8/19 and there have never been any clients in the facility. Licensee is still working with San Gabriel/Pomona Regional Center to obtain clients.

LPA toured the home with the Manager. The facility has 3 bedrooms and 2 bathrooms. Resident bedrooms have the required furniture such as bedframes, mattresses, dressers and lamps. The bathrooms are clean and the hot water temperature was 118.1 degrees which is within the required 105 - 120 degrees. The kitchen has the required appliances and all were operating at the time of the visit. The front and backyard are well maintained. There is no pool, however there is an above ground jacuzzi in the backyard. The jacuzzi has a hard cover on top and has no water. Since there are no clients or staff, there were no files to review.

Per Title 22 Regulations, there were no deficiencies observed during the visit.

Exit interview held. A copy of the report was provided.