Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPAs met with Adrienne McNeill. LPA explained the purpose of today's visit. LaTonya King arrived at approximately 12:40 P.M..

This is a single-home with (4) bedrooms, (2) bathrooms, 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 (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 were tested and operable. Carbon monoxide detector was tested and operable (located in the hallway). The fire extinguisher was observed in the kitchen and appeared to be full (last service date: 06/04/25). Hot water temperature measured between 111.2* (hallway bathroom) and 112.8* (bathroom near the kitchen). Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Passageways were free of obstruction.

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