Facility Evaluation Report

On 5/15/2025 at approximately 10:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator Clifton VonBuck arrived shortly after to assist with today’s visit.

LPA asked for the census and Staff/Client Roster. LPA conducted a physical plant tour at approximately 11:00 AM and the following was noted:

The facility is a single-story building with four (4) bedrooms and three (3) bathrooms currently occupying three (3) clients. There is one (1) designated staff room with one (1) private bathroom. The facility has an approved fire clearance for four (4) ambulatory and two (2) non-ambulatory clients. The facility is vendor through North Los Angeles Regional Center (NLARC) and is being operated at a Level III Adult Residential Home. Sign in sheet, hand sanitizer, gloves and masks are available.

Common areas: The living rooms and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 70°F. LPA observed the fire extinguisher to be located in the kitchen and dated 3/12/2025. LPA observed required postings such as Rights of Individuals with Developmental Disabilities, Facility Sketch, and Emergency Disaster Plan located throughout the common areas. A fireplace was observed to be covered and inaccessible to clients. A working telephone was observed.