Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 07/22/2023 at 8:26 am. LPA was met by Administrator Susana Harmon and explained the purpose of the visit. The facility is licensed serve developmentally disabled clients 18-59 years old. Currently, twenty-two (22) clients receive services from San Gabriel/Pomona Regional Center and two (2) clients receive services from East Los Angeles Regional Center. LPA Ramirez requested and obtained copies of Resident Roster and observed Administrators Certificate for Susana M Harmon with an expiration date of 7/18/23.

LPA OBSERVATIONS: Tour began at 9:01 am and was led by Administrator Harmon. The facility is divided into two (2) single-story building units located in a residential area. Each building unit (Building #1 & 2) contain: two (2) staff bedrooms, one (1) staff bathroom, one (1) staff kitchen, twelve (12) client bedrooms, six (6) Jack & Jill style bathrooms, kitchen, dining room, living room, and linen closets.

Front Yard: Was clean and well maintained. No hazards were observed.

Kitchen: LPA Ramirez observed refrigerator with chain link and pad lock. Facility has approved waiver dated 4/19/2005, that allows the facility to lock food storage area in facility kitchen. LPA Ramirez observed appliances to be clean and in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located kitchen cabinet, to be inaccessible to fourteen (14) out of fourteen (14) clients in care. Kitchen sink water temperature could not be tested due to staff performing maintenance on kitchen sink. Signs promoting hand washing were observed in this area.

Dining Room/Living room: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed plenty of seating and lighting. LPA Ramirez observed mini fridge in this area to be accessible and contain snacks and several beverages. LPA Ramirez observed fully charged fire extinguisher in dining room area.

Linen Closet: Contained plenty linens, towels, and hygiene products.

Client Rooms 1 - 12: LPA Ramirez selected random client bedrooms to inspect. Client bedrooms 5 & 6 were observed to contain the required linens, furnishings, and lighting. Client bedrooms 11 & 12 were observed to contain the required linens, furnishings and lighting.