Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an annual required visit. LPA met with Administrator Vivian Sison and 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 mentally disabled adults ages 18-59. Currently, 22 clients receive services from San Gabriel/Pomona Regional Center and 2 clients receive services from East Los Angeles Regional Center. The facility is divided into two (2) single-story building units located in a residential area. Each building unit (House #1 & 2) contain: 1 unit for the live in staff, 1 staff bathroom, 1 kitchen, 26 client bedrooms (14 +12), 13 Jack & Jill style bathrooms (7+6), 5 walk in showers (3+2), dining room, living room, 3 laundry rooms (2 +1) and linen closets. Fire Drill were conducted on 06/23/2024 (House #1) and 05/22/2024 (House #2).

LPA and Administrator toured the facility which included a random sample of client rooms in House #1 and House #2. The patio areas 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 patio area of each home. Passageways and exits are free of obstruction. The water temperature was tested in a random selection of client bathrooms in each home. In 2 clients bathrooms, between Room #5 - Room #6 and Room #1 - Room #4 hot water was measured at 103.5 degree F and 102.7 degree F. The trash cans in the bathrooms were observed without lids . LPA also noticed that hand washing sinks in the clients bathroom Room #7 - Room #8, and Room #12 were not draining the water.

Client bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Client beds have the required linen and the linen is in good condition. Smoke detectors were observed throughout the facility. There is a carbon monoxide detector in the kitchen of each home and were tested and operable during the visit. There are multiple fully charged fire extinguishers located throughout the facility. Kitchen appliances are clean and were operating at the time of the visit.