Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with staff Shy'Ann Jones who assist with the visit. LPA explained the reason for the visit. Administrator Carter S'Halana was informed over the phone about visit.

This is a single-story home located in a residential neighborhood and consists of the following: This home consists of (4) bedrooms, (2) bathrooms (one in the hallway and one in the master bedroom), living room, kitchen, dining area and attached garage. Laundry observed in the garage. The facility is approved for four (4) ambulatory developmentally disabled adults, ages 18-59. There are currently four (4) clients residing in this facility and receive services from San Gabriel/Pomona Regional Center.

The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstruction. There is a shaded sitting area in the back of facility. Client bedrooms and bathrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathrooms are clean and have the required hygiene items. The hot water temperature was tested and readings measured between the required 105 - 120 degrees F. Extra linens, blankets, towels, and personal hygiene supplies were observed. 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. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the hallway cabinet.