Facility Evaluation Report

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

This facility consists of a single-story home with (3) bedrooms, (2) bathrooms (1 located inside room #1), kitchen, dining area, living room and detached garage. This facility is approved for (6) ambulatory clients. All Clients residing at this facility 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 tested and operable. Carbon monoxide detector tested and operable (located in living room). Fire extinguishers were observed in the kitchen and hallway and appeared to be full. Last fire drill was conducted 03/27/25. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Passageways were free of obstruction.

Staffing : Staff files were not at this facility during this visit. Deficiency cited.

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