Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit. LPA met with Administrator Raquel Palacios who assisted with the visit. LPA explained the reason for the visit. LPA used the infection control tool to evaluate the facility. The physical plant was inspected along with medications, food supply, and clients and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. The facility is located in a residential area. LPA toured the home and inspected living / dining room, Activity / TV room, kitchen, 4 clients bedrooms, 2 staff rooms, 2 bathrooms and the garage. Laundry area was observed in the garage. The front and backyard are well maintained. The backyard is secured with a self-closing gate that leads to the patio area and the swimming pool is secured behind a gate w/padlock. There is a shaded seating area for the clients located in the backyard. Passageways and exits are free of obstruction. LPA observed laundry detergent, cleaning solutions/disinfectants are locked in the garage and inaccessible to clients. Facility common areas; living / dining room, Activity / TV room are fully furnished for client use. Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. Extra linens, bedspreads and towels were observed in the linen closet located in the hallway. The bathrooms were toured. 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.