Senior Care Records.

Facility Evaluation Report

Harriet House Annex, Pasadena07/07/2026Licence 198601506

Capacity6
Census5
Date signed07/07/2026 05:38:01 PM
Name of licensing program analystNune Margaryan
Name of licensing program managerWei Siew Ho
The inspector’s account

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Monique Jordan, Administrator who assisted with the visit. LPA explained the reason for the visit. The facility is approved for six (6) ambulatory developmentally disabled adults, ages 18-59. There are currently five (5) clients residing in this facility and receive services from Frank D. Lanterman Regional Center.

The facility is a single story structure located in a residential neighborhood. It consists of the following: (4) clients bedrooms, (2) clients bathroom, kitchen, dining room, living room, laundry area, detached garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the backyard. LPA toured the facility. All indoor and outdoor passageways were free of obstruction. The kitchen was inspected. LPA observed all kitchen equipment to be clean and in working condition. LPA observed sufficient supply of perishable and non-perishable foods. Sharps, cleaning supplies are locked and inaccessible to residents. LPA observed light bulbs, screw drivers, screws, push pins in the drawer the china cabinet located in the dining room. Smoke / Carbon monoxide detectors were in compliance and operational. There are (4) fire extinguisher located throughout the facility which are fully charged. The common areas (dining room, living room) are clean and were properly furnished. Client rooms were sanitary and had the required furniture and furnishings. Medications are centrally stored in a locked cabinet in the kitchen. The client bathroom is clean and operational. Extra linens, blankets, towels, and personal hygiene supplies were observed. The hot water temperature was tested at the clients bathrooms and measured between 139.4 and 144.7 degrees F The first aid kit was observed and found to be in compliance with the Title 22 Regulations.

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