Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPAs met with Marcus Fuller. LPA explained the purpose of today's visit. Kristin Stewart arrived at approximately at 10:25 A.M..

This is a single-story home which consists of (3) bedrooms, (2) bathrooms, kitchen with a dining area, living room, laundry room and office. This home has a fire clearance for (4) ambulatory clients and (2) non-ambulatory clients. All clients from 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 tested and operable. Carbon monoxide detector was tested and operable (located in the hallway). The fire extinguisher was observed and appeared to be full (last service date: 01/27/25). Hot water temperature measured at 113.3*. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Passageways were free of obstruction.

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**