Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the required unannounced annual inspection on 7/31/25. LPA met with Staff, Monaliza Quan, and explained the purpose of the visit. Administrator, Clarinda Roa, arrived shortly thereafter to assist with the visit. The facility is licensed for (6) clients, ages 18 through 59, of which 2 may be non-ambulatory. There are 5 clients residing at the facility and are receiving services through the San Gabriel/Pomona Regional Center.

LPA inspected the facility using the Compliance and Regulatory Enforcement (CARE) tools.

The facility consists of 4 Client bedrooms, 1 Staff room, 1 Office, 2.5 bathrooms, an open living room, dining room, kitchen, and attached garage. Client rooms have the appropriate furniture and storage space. There are extra linens and hygiene supplies. There is a carbon monoxide detector located in the hallway and smoke detectors in each room. Knives, cleaning solutions, and disinfectants are locked. The hot water temperature was measured between the required range of 105-120 degrees F. There are sufficient food supplies of 2 day perishable and a week of non-perishable items.

Staff are providing care and supervision to meet the clients' needs. Staff are continuing to follow their infection control plan and procedures while handling clients. Facility has an awake staff for the overnight shift. Staff are all fingerprint cleared and associated to the facility. LPA reviewed records for 3 staff and 5 Clients. Administrator's (Clarinda Roa) certificate expires on 1/4/27. Staff have current CPR & First Aid certificates. Staff do not use any manual restraints on clients. Medications are centrally locked and inaccessible to clients. LPA reviewed medications for all 5 clients and are being administered as prescribed. The facility has the updated emergency and disaster plan and conducting drills.

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