Facility Evaluation Report
Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA arrived unannounced and met with the administrator, Melissa Villanueva. The purpose of the visit was explained. The facility is licensed for four (4) adults, ages 18 to 59, of which (2) may be non-ambulatory in bedrooms #3 and #4. The home is vendorized by the San Gabriel/Pomona Regional Center.
The facility has 4 client bedrooms, 1 staff office, 2 bathrooms, living room, dining room, family room, kitchen, and attached garage. Client bedrooms are equipped with the appropriate furniture and storage space. There are extra linens and hygiene supplies. Facility has operable smoke and carbon monoxide combo detectors. Knives and cleaning solutions are locked. The hot water temperature was measured between 105-120 degrees F. Sufficient food supplies of 2 day perishable and a week of non-perishable observed. The backyard has a shaded area with table and chairs. There are no items obstructing the walkways. Staff are providing care and supervision to meet the clients' needs throughout the shifts. The facility employs at least 2 staff during the overnight shift and they are awake. Staff are fingerprint cleared and associated to the facility. LPA reviewed (4) staff files and files are complete. Administrator's (Melissa Villanueva) certificate expires on 3/16/27 and the HIV & TB certificate was issued on 3/9/25. Staff have current CPR & First Aid certificates and receiving appropriate annual training. Staff do not use any manual restraints on clients. There are no clients with a restricted or prohibited health condition. LPA reviewed (4) client files and their medications. All files contain the required documents. Medications are being administered as prescribed. The facility has the updated emergency and disaster plan and is conducting disaster drills.
No deficiencies observed today. An exit interview was held. Copy of this report was given to the administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction