Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA was allowed entry by Lorna Arquero/Facility Administrator. LPA explained the purpose of today's visit.

This is a single-story home which consists of (4) bedrooms, (2) bathrooms, living room, kitchen, dining area and an attached garage. All Clients residing at this facility receive case management services provided by San Gabriel Pomona Regional Center. This facility is approved for (6) non-ambulatory clients (1) of which may be bedridden.

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 (located in the kitchen area) were tested and are operable. Fire extinguisher is located in the kitchen and was last serviced 02/15/24. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

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.

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