Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Administrator Roger Escorcia and explained the reason for the visit. The physical plant was inspected along with medications, food supply, and resident and staff records. The facility is licensed to served 3 non-ambulatory adults within the age range of 18 through 59 years old. There are currently 3 clients residing at the home and receive services from San Gabriel / Pomona regional Center.

The home is located in a residential area and consist of 3 client bedrooms, 2 bathrooms, kitchen, dining room, living room, office room, laundry area / closet, and attached garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the backyard. The home has a sprinkler system and operating delayed egress.

Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathrooms were toured. Bathrooms are clean and have the required hygiene items. The water temperature was tested in both bathrooms and measured at 107.7F which is within the required 105 - 120 degrees. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked in a medication closet and are inaccessible to clients. The fire extinguishers observed to be fully charged. Smoke/carbon monoxide detectors were observed to be fully operational. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the garage and in the laundry area. All clients medications were reviewed.