Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Robert Williams and discussed the purpose of today’s visit.

This is a single-story home with (3) bedrooms, (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 is approved for (6) ambulatory clients.

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 observed. Fire extinguishers were last serviced on 03/02/24. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

Staffing : LPA was unable to review as personnel files were not on premises.

Personnel Records-Training : LPA was unable to review as personnel files were not on premises. Deficiency cited.

Client Rights-Information: Client rights are posted.

Client Records-Incident Reports: LPA was unable to review as client files were not on premises. Deficiency cited.

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