Facility Evaluation Report

Licensing Program Analyst (LPA) S Vaid conducted an unannounced annual required visit. LPA Vaid met with DSP Rachael Baez and explained the reason for the visit, and House Manager, Nicholas Baez arrived shortly after an assisted with the visit. LPA used the CARE tool to evaluate the facility. The facility services for four (4) ambulatory clients, serviced by Pomona Regional Center. LPA observed the facility plant, food supply, medications and clients/staff files.

The facility is a one-story house, located in the rear of the property. The facility is comprised of a living room, dining area, kitchen, four clients’ bedrooms, one client bathroom is share by two clients, the other bedrooms have one (1) client each. Facility has two (2) bathrooms, one bathroom is shared by three clients, one private bathroom for one client. Client bedrooms were toured, and each room has two beds, two drawers, two chairs, required bed linen and sufficient lighting and closet space. The client bathroom is clean and maintained in good condition. The hot water temperature tested between 107.9- 114.5 F, which is within Title 22 regulation. The food supply, in the refrigerator and pantry are sufficient for two days perishable and seven days non-perishable. All the appliances are clean and working properly. The common areas such as living room and dining area are clean and have the required furniture. The back yard is well maintained and has a shaded area for clients. The passageway and exits are free of obstruction. Each bedroom and common area has a smoke detector, and they are operated well. The carbon monoxide detectors are tested and working properly and are interconnected. The medication is centrally stored in the hallway storage room which is inaccessible to clients. All the cleaning supplies and sharp utensils are stored in the hallway storage room which is locked and inaccessible to clients. The facility bathrooms have sufficient soap, paper towels, and wash hand sign. Sufficient PPE supplies are stored in garage.

Four (4) clients files were reviewed, and two (2) staff files were reviewed. Administrator certificate expires 08/31/25, fire drills are held monthly last drill was 03/03/25.

No deficiencies were found during this visit. Exit interview was conducted with House Manager Nicholas Baez and a copy of this report was provided.