Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Irene Gallardo and discussed the purpose of today’s visit. LaTonya King (Administrator) arrived at approximately 11:15 A.M..

This is a single home with (4) bedrooms, (2) bathroom, living room, kitchen, dining area and an attached garage. Fire Clearance is for (1) Ambulatory and (3) Non-Ambulatory. Each client has their own bedroom. 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: Last Disaster Drill was conducted on 07/14/23. Staff are adhering to operational requirements.

Physical Plant & Environment Safety: Smoke alarms were tested and operable. Fire extinguishers are located in the kitchen and hallway and were last serviced on 06/16/23. Carbon monoxide detectors are combined with the smoke alarms (tested and operable). Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Water temperature measured at: 108.8* kitchen and 110.0* in the bathroom near the laundry room and hallway bathroom.

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