Facility Evaluation Report

Licensing Program Analysts (LPAs) Nune Margaryan and Nicol Wesley conducted an unannounced annual visit using the Care Tool. LPAs met with staff Sison Ivan. LPAs explained the reason for the visit. House Manager Leilani Telebrico arrived shortly after and assisted with the visit. The facility is approved for six (6) ambulatory developmentally disabled adults, ages 18-59. There are currently six (6) clients residing in this facility and receive services from San Gabriel/Pomona Regional Center.

This is a single-story home located in a residential neighborhood and consists of the following: 4 clients bedrooms, living room, dining area, stock / supply room, office, 1 clients bathroom, 1 staff bathroom (inside of office), kitchen and laundry area. The facility has an open front yard and enclosed backyard with an attached patio cover. There are no pools or large bodies of water. When LPAs enter the facility they observed a glass cleaner on the entrance. Also, LPAs observed that unused exercise equipment, suitcase, box of rocks, area rag at the exit door in the back of the facility. also there was unused/empty rabbit cage in the back yard and around of cage were a few rocks and bricks, and the plastic crate with exercise waits. Client bedrooms and bathroom were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathroom is clean and have the required hygiene items. The hot water temperature was tested and was measured at 110.4 degrees F. LPAs observed that the towel rack was broken in the bathroom. Extra linens, blankets, towels, and personal hygiene supplies were observed. 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. LPAs observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the laundry area. 2 fire extinguishers observed in the laundry and in the living room fully charged. Carbon monoxide/smoke detectors in the hallway / living room and in the client rooms are operational. At the time of visit the temperature at the common area (dining , living) was 58.4 degrees F.