Senior Care Records.

Facility Evaluation Report

Abs Filmore Residential, Pomona03/18/2024Licence 198603509

Capacity4
Census3
Date signed03/18/2024 10:46:28 AM
The inspector’s account

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Diana Rojas (Administrator) and discussed the purpose of today’s visit.

This is a single-story home which consists of (3) bedrooms, (2) bathrooms, living room, kitchen and dining area. This facility is approved for (4) ambulatory clients. Currently, each client has their own bedroom. All clients residing at this home receive case management services provided by San Gabriel Pomona Regional Center.

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

Infection Control: Facility has an Infection Control Plan in place.

Operational Requirements: Staff are adhering to operational requirements.

Physical Plant & Environment Safety: Smoke alarms and carbon monoxide detector (located in the living room) were tested and are operable. Fire extinguisher is located in the living room and appears to be full. Last fire/earthquake drill was conducted 03/05/24. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

Staffing : There is sufficient staffing at the facility. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility.

Refer to LIC 809C for the continuation of this report.

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