Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an announced Pre-Licensing visit and met with Administrator Olivia Tomines for the purpose of conducting a Pre-Licensing Inspection / Component III visit. This was the facility’s first Pre-Licensing Inspection.

The facility has an approved fire clearance to be licensed to serve four (4) ambulatory clients. The facility is a one-story home in a residential neighborhood. It contains three (3) bedrooms, 1 shared and two (2) restrooms, a living room, a dining room, a laundry room, a kitchen, an unattached garage, and a back yard patio area located in Monterey Park, CA

The physical plant was toured inside and out alongside Oliva and Jonathan Timones. The Pre-Licensing Inspection Tool was used.

· There is a locked storage area that is centrally located for medication located in the kitchen area of the facility.

· Cleaning supplies are kept separate from food and located in a locked cabinet under the kitchen sink.

· Facility walls, ceilings, floors, window screens and areas around the facility are clean and in good repair.

· Fire extinguisher and smoke detectors operate properly.

· Doors and passageways are free of obstruction.

· There are no pools/bodies of water at the facility.

· Facility does not have firearms on premises.