Facility Evaluation Report

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

This home is approved for (4) ambulatory clients. Each client has their own bedroom. This is a single-story home that consists of: (5) bedrooms, (3) bathrooms, living room, kitchen, dining room, family room, laundry unit and an attached garage. Clients from this home 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 the hallway). The fire extinguisher was observed in the dining room and appeared to be full. Last drill was conducted 04/16/25. Hot water temperature measured between 106.0* to 108.0*. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Passageways were free of obstruction.

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