Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Shanae Nowden and discussed the purpose of today’s visit. Alma Rahmaan (Facility Administrator) arrived at approximately 12:35 P.M. and assisted with this visit.

This home consists of (3) bedrooms, (2) bathrooms, kitchen, dining area, living room, den/T.V. room and detached garage. This home has a fire clearance for (4) ambulatory clients. All clients from this home receive case management services provided by San Gabriel Pomona Regional Center.

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

Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place.

Operational Requirements: The fire clearance is approved for (4) ambulatory clients. Last Disaster Drill was conducted on 05/03/23. Staff are adhering to operational requirements.

Physical Plant & Environment Safety: Smoke alarms were tested and operable. Fire extinguisher is located in the kitchen and appeared to be full. Carbon monoxide detector is located in the living room (tested and operable). Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. There are no firearms or weapons stored at the facility. Hot water supply measured at: 110.0* in the hallway bathroom and 112.8* in the bathroom near the laundry room.

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