Facility Evaluation Report
Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced required-1 year visit. LPA was met by Della Higgins, licensee/administrator and explained the purpose of the visit. The facility is licensed to serve (4) adults age range 18 through 59, (2) non ambulatory in bedroom #1. The home is vendorized through San Gabriel Pomona Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:
Staff are adhering to infection control requirements. The facility is a single story home in a residential area, consists of (4) bedrooms, of which (2) are shared client bedrooms and (2) staff rooms, (2) bathrooms, living room, dining area, kitchen, enclosed patio, backyard and detached garage. There are (2) clients residing in the home. Client bedrooms were toured and have sufficient storage space and lighting. Cleaning solutions and disinfectants are locked and inaccessible to clients. LPA observed the kitchen knives store in an unlocked kitchen cabinet. Smoke detectors and carbon monoxide combo detectors were tested and operable. No security window bars installed. Facility has working telephone service. Water temperature readings are within the required 105 - 120 degrees Fahrenheit. There are no pools or large bodies of water. The outdoor activity area in the backyard provides a shaded area.
A total of (2) staff members including the Administrator provide care and supervision to the clients. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and associated to the facility. Administrator's certificate is valid and expires on 06/08/2026. Administrator has valid HIV/AIDS Training certificate, completed on April 25, 2025. LPA reviewed staff files. Proof of staff training, health clearance, and vaccinations are current. However, first aid/CPR training certificates for both staff expired on 02/27/2026.
*****Refer to LIC 809C for the continuation of this report. *****
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction