Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced visit for an Annual Inspection. Upon arrival, LPA met with the Case Manager, Kevin Aguilar and LPA explained the purpose of the visit. Program Director, Kimberly Yrigoyen arrived shortly after and LPA explained the purpose for the visit. Facility is licensed to serve 75 adults, of which 15 may be non-ambulatory, ages 18 and over.

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

Infection Control: The facility staff are using appropriate hand hygiene and cleaning/disinfecting throughout the day. Facility has sufficient PPE supplies. The facility has an Infection Control Plan in place.

Physical Plant & Environment Safety: This is a single- story facility located in Pasadena, Ca. A tour of the facility includes: lobby/locker/waiting room area, a conference room, seven (7) offices (some of which are used as storage), an isolation/quiet room, computer room, media room, kitchen, gym, salon (styling room), art room, staff break room, library, four (4) restrooms and two (2) changing rooms. Smoke detectors and carbon monoxide detectors are operable and in compliance, there is an emergency sprinkler system throughout the facility. The fire extinguishers were observed which are fully charged and last inspected on 11/25/2025. No bodies of water were observed at the facility. The hot water temperature was tested throughout the facility restrooms and measured between 110.6 degrees F to 113.5 degrees F which are within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, poisons and hazardous items are stored in a secured/locked storage closet and inaccessible to clients. There are two (2) water fountains that are readily available for the clients. The facility appears to be clean safe and sanitary.