Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted the required unannounced annual inspection. LPA met with Caregiver/House Lead Cherish Nicholson and explained the reason for the visit. Administrator Agnes Aguila showed up a few minutes later and assisted with the visit. The facility is licensed to serve 4 Ambulatory and 1 Non-Ambulatory Developmentally Disabled Adults ages 18-59. Facility currently has 4 Ambulatory clients serviced by San Gabriel/Pomona Regional Center.

The facility is a single-story home located in a residential area in Glendora, CA. A tour of the facility included living room, dining area, kitchen, 4 client bedrooms, 1 staff bedroom, 2 bathrooms, detached garage, staff office/laundry area, front yard, and back yard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

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 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 readily available for clients. The hot water temperature was tested in the kitchen and client bathroom and was not within the required range of 123.9 – 125.9 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. The fire extinguishers was observed and is fully charged.

Operational Requirements: Staff have proper training to meet the needs of the clients in care. Facility has an activity area furnished for outdoor use. Last fire/earthquake drill was conducted on 12/01/24.