Facility Evaluation Report

Licensing Program Analyst (LPA) Vasallo conducted an annual required visit. LPA met with Administrator, Della Higgins and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the physical plant, COVID-19 procedures, reviewed clients' medications and records and observed the food supply, The facility cares for adults with intellectual disabilities and is vendorized by San Gabriel/Pomona Regional Center as a Level 4C facility.

Client bedrooms were toured. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. Clients' bathroom was toured. Facility has a non-ambulatory fire clearance, however there were no grab bars near the toilet or in the shower as required for non-ambulatory clients. The hot water was 105.9 degrees which is within the required 105 - 120 degrees. There were no toxic chemicals accessible to clients. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and were operating properly at the time of the visit. The common areas include the living room and dining area. These areas are clean and have the required furniture. There is a screening station at the entrance of the home which has PPEs and a thermometer to screen visitors. Staff document client and staff temperatures daily. Facility currently has at least a 30-day supply of PPEs. There are cameras outside the facility, but none inside the facility.

Client files were reviewed to confirm emergency contacts are updated. Staff files were reviewed to confirm health screenings, training and fingerprint clearances. All clients' medications were reviewed. Medications are documented properly and given as prescribed.

Per California Code of Regulations, Title 22, the deficiency observed during the visit is documented on 809D. Exit interview held. A copy of the report and appeal rights were provided.