Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wongi conducted the unannounced Annual Inspection and met with Administrator Daniel Corpuz and Mercedes Corpuz who allowed the entry of the facility and explained the reason of today's visit and will be using the Compliance And Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed for age range 18 through 59 and ambulatory only. The facility is vendorized as Level 4A home with San Gabriel Pomona Regional Center.

The following domains were reviewed during today's annual required visit which included: infection control, physical plant and environmental, operational requirements, staffing, personnel records-training, client rights- information, client records-incident reports, food service, health related services, incidental medical services, disaster preparedness and emergency intervention.

1. Infection Control Plan: The facility staff continue to practice hand washing and using gloves in the facility. Staff would clean and disinfect once a day and more often for high touched surfaces area. Facility has sufficient PPE supplies and has an Infection Control Plan in place

2. Physical Plant and Environmental Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: living room, kitchen, dining area, three clients bedrooms, one client bathroom and one live in staff room and an attached garage. Each client bedrooms have two beds, chair, two dressers, required furniture and beddings and sufficient lighting and closet space. The client's bathroom is clean, sanitary and in a good working condition. The hot water temperature tested in the client's bathroom was 106.1 degrees F which is within the Tittle 22 regulation. All the appliances in the kitchen are working properly. The sharp knives are locked and stored in the kitchen drawer. The cleaning supplies are stored and locked in the cabinet in the garage. The extra personal hygiene products are stored in the garage cabinet. The hallway light is always on during night for client to access the non-private bathroom. The facility has a telephone service on the premises. LPA inspected the carbon monoxide detectors in the facility and they are working well. The passageway, walkway and patio are free of obstruction.