Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Gerard Liwanag and explained the purpose of today's visit. LPA toured the facility grounds. Cynthia Tuason (Facility Administrator) arrived at approximately 8:45 AM.

This home consists of (5) bedrooms (3 of which are client occupied), (2) bathrooms, living room, kitchen, dinning area, recreation room, laundry set-up is inside the attached garage. All Clients residing at this facility receive case management services provided by San Gabriel Pomona Regional Center.

COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility and throughout the facility.

Signs are posted to promote hand washing, cough/sneeze etiquette, and physical distancing were observed. Bathrooms have hand washing signs promoting hand washing etiquette.

Clients were be socially distanced according to local public health guidelines.

Client medications reviewed for Client#1 (C-1) through Client #6 (C-6).

PPE supplies observed. Additional PPE supplies are stored inside the garage.

Incontinence supplies observed (stored inside the garage).

Restrooms have hand soap, hand sanitizer and paper towels.

Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed. Additional food supply and water is stored inside the garage.

Exit interview conducted, a copy of this report and Appeal Rights were provided to Cynthia Tuason