Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted the unannounced Annual Inspection visit using the Compliance And Regulatory Enforcement (CARE) Tool. LPA met with Administrator Florentino Vitangcol and the purpose of the visit was discussed.

Physical Plant and Environmental Safety: The facility is licensed to serve six (6) clients of ages between 18-59 of which one (2) may be non-ambulatory. There are currently six (6) clients who are placed by the San Gabriel Pomona Regional Center of which (1) is non-ambulatory. Facility is located in a residential area and consist of a Living room, dining area, kitchen, (4) client bedrooms, 2 bathrooms and a laundry room. The facility was inspected during the physical plant tour. No passageways or paths were obstructed. Front and backyard also observed.

Health Related Services: Medication is centrally stored and locked making them inaccessible to clients in care. LPA reviewed six (6) Client Medications. No errors observed.

Due to time constraints, LPA was only able to complete two (2) of twelve (12) domains during the visit. No deficiencies are being cited on todays visit. LPA to return at a later date to complete annual inspection.

Exit interview conducted and a copy of this report was provided.