Facility Evaluation Report

Licensing Program Analyst (LPA), Mayra Cota conducted an unannounced required annual visit today. LPA, met with Administrator Herminia De La Cruz and discussed the purpose of today's visit. This single-story home is in a residential neighborhood of Pasadena. The facility is licensed to serve (1) non-ambulatory and (4) ambulatory adults ages 18-59. The facility is operating within the scope of its license. Clients in care receive services from the Frank D. Lanterman Regional Center.

The facility is made up of: living room, dining area, kitchen, staff office, (3) client bedrooms, (2) full bathrooms, side shaded patio, front and backyard, and a detached garage with a laundry area. The home also has a basement in which the water heater and furnace are housed in.

During the visit, the following was observed:

Facility was observed clean, inside and out; however, LPA observed several boxes stacked high in the dining area, creating a fall hazard and obstructing the passageway to the refrigerator.

Exits were observed clear and free of debris and obstructions.

Living room and dining areas have sufficient seating and furniture in good repair.

Kitchen appliances were observed clean and were operating at the time of visit, however, live and dead roaches were observed in three cabinets in the kitchen and the dining area.

Cleaning supplies and toxins were observed locked in a cabinet under kitchen sink and inaccessible to clients, however, knives/sharps were observed accessible to clients. Knives and kitchen shears were observed unlocked in a kitchen drawer during time of visit. Kitchen drawer latch does not lock due to being the incorrect size to reach the latch. ***Continues on LIC 809-C***