Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit utilizing the Infection Control Tool. LPA met with staff Perla Chapa who assisted with the visit. Administrator Angela Porter arrived shortly after. LPA explained the reason for the visit. The physical plant was inspected along with COVID-19 procedures, medications, food supply, and clients and staff records. Facility submitted infection control plan to CDSS. The facility is licensed to serve developmentally disable clients between the ages 18 to 59 and receive services from San Gabriel /Pomona regional Center. All four (4) clients were at the Day program at the time of visit. The facility is located in a residential area. LPA toured the home and inspected living room, dining room, kitchen, 4 bedrooms, 2 bathrooms and the garage/office. Laundry area was observed in the garage / office. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating / patio area for the clients located in the backyard. Passageways and exits are free of obstruction. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the garage / office. All required posters were posted at the entrance. Sign in sheet, hand sanitizer, gloves and masks are available. Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathrooms were toured. LPA observed that bathroom #1 doesn't have a trash bin and bathroom #2 trash bin observed without cover. The hot water temperature was tested and was measured within Title 22 Regulation guidelines. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to clients.

The fire extinguisher observed to be fully charged. Smoke detector observed to be fully operational. The facility has a fire pull alarm system. LPA observed the centrally stored medications area to be locked and inaccessible to clients. The first aid kit was observed and found to be in compliance with the Title 22 Regulations.