Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Jose Goingo and discussed the purpose of today’s visit.

This home consists of (4) bedroom, (2) bathrooms, living room, kitchen and dining area. This facility is licensed for (6) ambulatory clients. San Gabriel Pomona Regional Center provides case management services for all (6) clients residing at this facility.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Facility has an Infection Control Plan in place. There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces.

Operational Requirements: Last Disaster Drill was conducted 09/16/23. Staff are adhering to operational requirements.

Physical Plant & Environment Safety: Smoke alarms and carbon monoxide detector were tested and are operable. Fire extinguisher observed in the kitchen and appeared to be full . Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Water temperature measured at 114.9*.

Staffing : There is sufficient staffing at the facility. Administrator Certificate on file for Galileo Torres expires on 10/08/23. 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.