Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit utilizing the Infection Control Tool. LPA met with House Manager Telebrico Leilani 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 and receive services from San Gabriel /Pomona regional Center. All four (4) clients were at the Day program at the time of visit. This is a single story home located in a residential neighborhood. It consists of the following: 4 client bedrooms, 2 staff rooms, 1 full client bathroom, and 1 1/2 client bathroom, 1 full staff bathroom, living/dining room area, kitchen, detached garage , garage closet room, backyard, and front yard with patio furniture. The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstruction. Client bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Linens and personal hygiene supplies are stored in hallway closet. Laundry area was observed in the garage. The bathrooms are clean and have the required grab bars and non-skid mat. The water temperature was tested 112.6 degrees which is within the required 105 - 120 degrees. LPA observed plumbing issues in both bathrooms: Sink in the Bathroom #1 was not draining water and shower faucet in bathroom #2 was leaking.