Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted a Case Management visit to obtain additional information on a special incident involving C-1. LPA was allowed entry by Irene "Susie" Gallardo/Staff #1/S-1. LPA discussed the purpose of today's visit. LaTonya King (Administrator) arrived at approximately 11:40 A.M..

During this visit, LPA obtained a copy of the staff and client rosters and LPA reviewed C-1's file and obtained relevant documentation. LPA obtained staff contact information and contact information for Quality Assurance from San Gabriel Pomona Regional Center. LPA was unable to interview Client #1 (C-1) through Client #4 (C-4) as they are non-verbal. LPA interviewed S-1 and the Administrator. LPA conducted a tour of the building and grounds and did not observe any signs of neglect, abuse or other immediate health and safety threats.

Per special incident report, on 01/17/25, C-1 was diagnosed with a leg fracture (unknown how injury occurred). LPA to conduct additional interviews and may request additional documentation.

Exit interview conducted and a copy of this report was provided to LaTonya King.