Facility Evaluation Report

Fair Oaks Manor, Pasadena09/02/2025Licence 198603531

Capacity14
Census11
Date signed09/02/2025 04:27:49 PM
Name of licensing program analystDaniel Konishi
Name of licensing program managerDavid Sicairos
The inspector’s account

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Rodolfo Gonzales, Direct Care Staff and explained the purpose of the visit. The facility is licensed to care for (14) Developmentally Disabled Adults, ambulatory, of which (2) may be non-ambulatory, ages 18 through 59. All clients residing at this facility receive case management services provided by Frank D. Lanterman Regional Center.

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

Physical Plant/Environment Safety: The facility is located in a residential neighborhood and the home has 2 floors, ground floor and the main floor. Main floor is the only area that is licensed which contains a total of (7) client bedrooms, (1) staff bedroom, (4) bathrooms, a living room, office area, kitchen, dining area, front patio and backyard with shaded area. There is a storage room in the ground floor where additional supplies are stored. The garage in the ground floor was converted into an additional live-in unit by staff and is inaccessible to clients. The ground floor has separate entrances/exits. Facility has no open bodies of water. Currently, there are eleven (11) clients living in the facility. The interior and exterior physical plant was inspected. Client rooms were toured and have the required furnishings. Clean and additional linens and towels are located in the hallway closet. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard has a shaded area and sitting area. The laundry area is in the ground floor which is kept locked when not in use. There are (5) fire extinguishers all over the home which are fully charged and were just serviced on 06/25/2025.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction