Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted the required annual inspection, allowed entry by Irene Gallardo, facility manager at 0838 A.M. Administrator LaTonya King arrived shortly after to assist with the visit, Administrator certificate expires 09/26/2026.

This is a single-story 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. All clients from this home receive case management services provided by San Gabriel Pomona Regional Center.

Facility has an Infection Control Plan in place. Staff are adhering to operational requirements. Smoke alarms and carbon monoxide detector tested and operable. Fire extinguisher is in the kitchen and hallway (last serviced on 07/01/2026). Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

There is sufficient staff at the facility. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility.

LPA reviewed staff files for Staff #1 (S-1) through Staff #4 (S-4). Staff have current First Aid/CPR certification. Staff have their Health Screening and Tuberculosis Screening on file. There is sufficient staff at the facility. Staff employed are over the age of (18) and are fingerprint cleared and associated to the facility. Client rights observed to be posted and in client files. LPA reviewed Client files for Client #1 (C-1) through Client #3 (C-3). The following were observed: Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Weight Record, Functional Capabilities Assessment, Consent for Medical Treatment, House Rules, Individual Program Plan, and Client Rights.