Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an annual required visit. LPA met with Administrator, Efnan Scott and explained the reason for the visit. The facility cares for adults with special health care needs and is vendorized by San Gabriel/Pomona Regional Center. The fire clearance is approved for 5 bedridden residents.

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

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents and medications. Disposal of trash are done immediately after changing a client. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and but does no have an Infection Control Plan posted by the entrance.

Operational Requirements: The facility has plan to accept or retain clients with special health needs. There are currently 5 bedridden clients resident residing at the facility. The facility has enough liability insurance covering injury to clients and visitors.

Physical Plant & Environment Safety: . There are 5 bedrooms, 4 bathrooms, living room, dining room, kitchen, staff office and a attached garage. All rooms have required furniture. Facility has operable smoke and carbon monoxide combo detectors located in each room and hallway. Knives, cleaning solutions, and disinfectants are locked in the cabinets. No firearms or weapons are stored at the facility. LPA measured the hot water temperature in the bathroom sink and shower. The hot water temperature in the bathroom and shower were measured between 104.0 – 105.1 degrees F of which 104.0 is not within the required range of 105-120 degrees.

Staffing : There appears to be sufficient staffing at the facility. The administrator’s Efnan Scott expires 07/25/2024 Staff employed are all over the age of 18.