Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit. LPA was greeted by caregiver and the reason for the visit was explained. Licensee Rowena Santos arrived shortly after to assist with facility tour.

The facility is licensed to serve six (6) adults age range 60 and over. Approved for six (6) non-ambulatory of which two (2) may be bedridden in room #3 only. Approved hospice waiver for six (6).

The facility is a single-story home located in a residential area of La Verne. The home consists of a living room, dining area, kitchen, four (4) resident bedrooms, two (2) bathrooms, laundry room, attached garage, front and backyard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

The front and backyard are well maintained and there are no pools or large bodies of water. There is a covered patio providing a shaded seating area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstructions.