Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an announced pre-licensed visit and met with Licensee Antoinette Corsentino and Administrator Barbara Boiston for the purpose of conducting a Pre-Licensing Inspection / Component III visit. This Pre-Licensing Inspection is due to change of ownership.

The facility has an approved fire clearance to be licensed to serve five (6) non-ambulatory clients. The facility is a single-story home: 4 bedrooms,1 staff room 3 bathrooms, dining/ living room, backyard with pool that is inaccessible to residents, and attached garage located in Glendora, CA.

The physical plant was toured inside and out alongside Antoinette Corsentino. Pre-Licensed Inspection Tool was used.

· There is a locked storage area that is centrally located for medication.

· Cleaning supplies are kept separate from food and located in a locked cabinet..

· Facility walls, ceilings, floors, window screens and areas around the facility are clean and in good repair.

· Fire extinguisher and smoke detectors operate properly.

· Doors and passageways are free of obstruction.

· Pools/bodies of water at the facility are inaccessible to residents. .

· Facility does not have firearms on premises.