Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with staff Siddiq Fraizer who assisted with the visit. Administrator arrived shortly after. Reason for the visit was explained. The facility cares for adults with developmental disabilities and is vendorized by San Gabriel/Pomona Regional Center (SGPRC) and Regional Center Orange County (RCOC) The home has a fire clearance from the local Fire Department for a capacity of four (4) non-ambulatory clients ages 18 - 59 approved for delayed egress on perimeter exterior. There are currently three (3) clients residing in this facility.

The physical plant was inspected along with medications, food supply, and clients and staff records. This is a single-story home located in a residential neighborhood and consists of the following: 4 clients bedrooms, 2 storage room(#1 and #2), 2 clients bathroom, living room, dining room, kitchen, laundry area, detached garage, backyard and front yard. At the time of visit there renovation work was underway. Administrator states that they are fixing one bedroom and one bathroom which located in the hallway because of water damage. LPA observed broken toilet and sink on the hallway against the wall, blocking the passageway. 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. 3 Client bedrooms and bathroom were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. Bathroom was clean and has the required hygiene items. The hot water temperature was tested and was measured within Title 22 Regulation guidelines. Extra linens, blankets, towels, and personal hygiene supplies were observed.