Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted an annual required visit. LPA met with AM House lead, Alexandria Moreno and explained the reason for the visit. The facility cares for adults with developmental disabilities and is vendorized by San Gabriel/Pomona, RCOC and North Los Angeles Regional Centers. The home has a fire clearance from the local Fire Department for a capacity of four (4) non-ambulatory clients ages 18 - 59 approved for delayed egress on perimeter exterior.

The facility staff are using appropriate hand hygiene and gloves while assisting residents and medications. Disposals of trash are done immediately. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection control plan at facility. There are (4) client bedrooms, three (3) bathrooms, living room, activity room, dining room, kitchen, office area, laundry room, and attached garage. Facility has operable smoke and carbon monoxide combo detectors located in each room and hallway. Knives, cleaning solutions, and disinfectants are locked in the cabinets. No firearms or weapons are stored at the facility. LPA measured the hot water temperature in the bathrooms and kitchen sink. The hot water temperature in the bathroom and kitchen were measured between 107.2 – 115.3 degrees F which are within the required range of 105-120 degrees F.

Staff files are maintained at the facility. Staff have current CPR first aid training and on-going training. Facility has documentation on file that verify staff qualifications.

Resident files are maintained at the facility and have the following documents in their files - Admission Agreements, Identification & Emergency Information, pre-admission IPP and other required documentation.

The Complaint poster and client’s personal rights are posted at facility. Visiting hours are not posted as visitors are permitted 24 hours a day depending on client’s choice.