Facility Evaluation Report

On 1/23/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Florence Simon/Facility Staff and explained the purpose of today’s visit. The facility is licensed to operate for (4) (developmentally disabled or Mentally Ill) adults ages 18 through 59. Approved for (4) ambulatory only. Currently, the home has (1) clients. The client is from Harbor Regional Center. (0) Restricted Health Care Conditions, and (0) utilizes postural support or protective devices. Staff to client ratio is (1:2).

The facility is a single-story structure located in a residential neighborhood. The home consists of (2) client Bedrooms, (3) Bathrooms (1) staff room, a living room, a kitchen, and a dining-room, and a staff work area.

During the inspection, LPA Iniguez and facility staff toured both the inside and outside of the facility, inspecting a total of (2) bedrooms and (1) bathroom. LPA found that the mattresses and box springs were in good condition, there was adequate lighting, and plenty of dresser and closet space. The facility was observed to be clean, sanitary, and in good repair. Additionally, bed linens, comforters, and bath towels were adequately stocked during the visit. The bathrooms were found to be in compliance with Title 22 regulations, the toilets and water faucets worked properly.

The evaluation Report continues the next page, LIC 809-C , providing further details of the inspection findings.