Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA was allowed entry to the home by Oghenetega Ugbeyide.

This is a single-story home that consists of: (4) bedroom, (2) bathrooms (1) of which is located inside room #4, living room, dining area, family room, kitchen, laundry room and attached garage. This facility is approved for (4) non-ambulatory. All clients residing at 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: The carbon monoxide detector and smoke detectors were tested and are operable. The fire extinguisher was observed in the kitchen (last serviced 02/12/25). Hot water supply measured 114.0* in the hallway bathroom and 106.0* inside bedroom #4. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Passageways were free of obstruction.

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.