Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to staff Margarita Gonzalez Administrator Martin Sy arrived at the end of the visit. There are four (4) ambulatory developmentally disabled adults ages 18-59. The facility is licensed as a level 4i home vendored by San Gabriel/Pomona Regional Center. The inspection was completed using the CARE tools. Twelve (12) CARE tools domains were reviewed.

Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility encourages hand washing and self symptom check of staff and visitors. COVID-19 isolation plan is in place. The facility has an Infection Control Plan and COVID-19 mitigation plan.

The facility is a single story home licensed for 4 bedridden residents located in a residential neighborhood. It consists of 4 bedrooms, 2 bathrooms, dining room, kitchen, living room, backyard with shaded patio furniture, and a detached garage.

The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Smoke and carbon monoxide detectors were tested and are operational. The facility has two (2) fully charged fire extinguishers. Knives, cleaning supplies, and toxic substances are locked and inaccessible to clients. There are no firearms or weapons stored at the facility.

Water temperature readings measured between the required 105 - 120 degrees Fahrenheit.

The stove burners are not operable. Staff are using a lighter to ignite the burners. Citation issued.