Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with staff Sison Ivan. LPA explained the reason for the visit. Assistant Administrator 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 five (5) 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. Backyard has a shaded seating area for clients use. 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 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 within Title 22 Regulation guidelines. 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. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the laundry area. 2 fire extinguishers observed in the laundry area and in the living room fully charged. Carbon monoxide/smoke detectors in the hallway / living room and in the client rooms are operational.