Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit using the CARE tool. LPA met with Administrator Huendy Mora who assisted with the visit. LPA explained the reason for the visit. 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 2 clients residing at the home and receive services from San Gabriel / Pomona Regional Center.

The facility is located in a residential area and consists of three (3) client bedrooms, two (2) bathrooms, living room, dining area, kitchen, office room, activity / therapy room, and attached garage. Laundry room was located at the end of the kitchen. LPA toured the home and inspected living room, dining area, kitchen, 3 bedrooms, 2 bathrooms and the 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. Passageways and exits are free of obstruction. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked under the kitchen sink, in the garage and laundry area. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. 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 hot water temperature was tested and 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.