Facility Evaluation Report

On 10/21/2025 at 8:20am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Sonia Lapuz, Licensee Care Provider and the purpose of today’s visit was explained. The facility is licensed to operate for (3) ambulatory, (1) non-ambulatory, (0) bedridden (developmentally disabled or Mentally Ill) adults ages 18 through 59. Currently, the home has (4) clients. The clients are Harbor Regional Center clients. None the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices.

The facility has a current administrator certificate (# 6074178735 ) for Bienna Lapuz-Tran valid from 1/17/2025 - 1/16/2027 . The facility fees are current (payment date 09/17/2025 at 4:17pm - confirmation code #981272). The facility has liability insurance with AmGuard Insurance Company with each occurrence at $1,000,000 and general aggregate at $3,000,000 (policy #C1GP607360) effective date 02/21/2025 - 02/21/2026.

The facility is a two (2) story home located in a residential neighborhood. The property consists of the following: 3 client bedrooms, 1 common bathroom, 1 half bathroom, 1 staff room, a staff office, living room, kitchen, dining room, attached garage which houses the washer and dryer and an outdoor shaded area with an additional refrigerator .

Between the hours of 8:40am -10:35 am LPA conducted a records review of (4) client records, (3) staff records, (2) clients Personal & Incidental Records and (4) Client Medication Administration Records and did observe discrepancies at the time of visit. LPA reviewed the facility disaster plan which is current and in compliance with Title 22 at the time of visit. The facility conducted a fire drill on 10/10/2025.