Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Robert Williams/Facility Administrator and explained the purpose of today's visit.

This is a single story home with 3 bedroom, 2 bathrooms (1 located inside room #1), kitchen, dining area and living room. All Clients residing at this facility receive case management services provided by San Gabriel Pomona Regional Center. This facility has surveillance cameras outside the home and in the common areas inside the property. Cameras do not have audio.

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 sufficient PPE supplies. Bathrooms have hand washing signs, soap and paper towels.

Operational Requirements: The fire clearance is approved for (6) ambulatory clients. Last Fire Drill was conducted 04/23/23. Last Earthquake Drill was conducted 04/15/23. Staff are adhering to operational requirements.

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