Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. Investigation Branch investigator, Maria Gliaudys, was also present for the visit. LPA met with Administrator, Jennifer Evangelista, and explained the reason for the visit. The facility is licensed for (6) ambulatory only clients, ages 18 to 59. There are currently five clients residing at the home and receiving services through the San Gabriel/Pomona Regional Center.

The facility consists of (3) client bedrooms, staff bedroom, (2) bathrooms, living room, kitchen, and attached garage. Client bedrooms are equipped with the appropriate furniture and storage space. There are extra linens and hygiene supplies. Facility has operable smoke detectors and a carbon monoxide detectors. Knives and cleaning solutions are locked. The hot water temperature was measured within the required range of 105-120 degrees F. There are sufficient food supplies of 2 day perishable and a week of non-perishable items. There are no items obstructing the walkways. Staff are providing care and supervision to meet the clients' needs.

LPA reviewed (2) staff files. Administrator's (Jennifer Evangelista) certificate expires on 4/28/26. Staff have current CPR & First Aid certificates. Staff do not use any manuel restraints on the clients. There are no clients with a restricted health condition. LPA reviewed (5) client files and their medications. All files contain the required documents. Medications are being administered as prescribed. The facility has the updated emergency and disaster plan and is conducting quarterly drills.

No deficiencies were issued today. An exit interview was held and a copy of this report was given to the administrator.