Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tool. LPA arrived unannounced and met with Staff, Lellanie De Guzman. Administrator, Cynthia Tuason, arrived after to assist with the facility. The facility is licensed for (6) Developmentally Disabled Adults, ages 18 - 59, ambulatory only. The home is vendorized by the San Gabriel/Pomona Regional Center.

The facility has 5 client bedrooms, 3 bathrooms, living room, dining, kitchen, and detached garage. The client rooms have the appropriate furniture and storage. The backyard has a covered area. There are extra linens and hygiene supplies. Facility has interconnected smoke detectors throughout the home and a carbon monoxide detector located in the hallway. Knives, cleaning solutions, and disinfectants are locked. Food supplies are sufficient with 2 day perishables and a week of non-perishables. The hot water temperature was measured within the required range of 105-120 degrees F. Foods are properly stored in the refrigerator to avoid contamination. Staff are providing care and supervision to meet the clients' needs. There is an awake staff for the overnight shift. Staff are all fingerprint cleared and associated to the facility. LPA reviewed records for 3 staff and 4 Clients. The administrator's (Cynthia Tuason) certificate expires on 10/21/26 and the HIV & TB certificate was issued on 4/21/24. Staff have current first aid and CPR certificates. Client files are complete. Medications are centrally stored and locked in the kitchen cabinet. LPA reviewed medications for 4 clients and there were no discrepancies found. Facility has the updated emergency and disaster plan and conducting disaster drills.

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