Facility Evaluation Report

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

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 tools for the visit today and observing the following:

1. Infection Control: Facility has an Infection Control Plan in place.

2. Operational Requirements: Staff are adhering to operational requirements.

3. Physical Plant & Environment Safety: This is a single-story home which consists of (4) bedrooms, (2) bathrooms, living room, kitchen, dining area and an attached garage. Smoke alarms and carbon monoxide detector (located in the kitchen area) were tested and are operable. Fire extinguisher is located in the kitchen/ding area and was last serviced 04/16/2026. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

4. 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.