Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Rizalina Gaetos/S-1 and discussed the purpose of today’s visit. Junelle Canones/Administrator arrived at approximately at 1:20 P.M..

This home consists of (4) bedrooms, (2) bathrooms, kitchen, dining room, living room and attached garage. Fire Clearance is for (4) ambulatory clients. Each client has their own bedroom. All clients 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 and carbon monoxide detector (located in the hallway) tested and operable. Fire extinguishers are located in the kitchen and appeared to be full (last service date: 04/17/24). Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

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

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