Senior Care Records.

Facility Evaluation Report

Tomines Adult Residential Facility I, San Gabriel03/14/2024Licence 198603104

Capacity4
Census4
Date signed03/14/2024 04:46:53 PM
The inspector’s account

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 DSP Yolanda Cueto. Assistant Administrator arrived shortly after. The facility is licensed for 4 ambulatory level 4I developmentally disabled residents 18-59 years old vendored by Eastern Los Angeles Regional Center.

COVID-19 screening is still in place. Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility has an updated Infection Control Plan.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood that is licensed for four (4) ambulatory clients. It consists of 3 client bedrooms, living room/dining room, kitchen, 2 bathrooms, backyard patio area, and attached garage. 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. There are two (2) fire extinguishers in the facility. Water temperature readings measured between the required 105 - 120 degrees Fahrenheit.

Operational Requirements: Fire clearance is approved for four (4) ambulatory only residents. Care and supervision to meet the clients needs was observed. Special equipment and supplies are used by residents. The Surety Bond is current with expiration date of 10/4/2026. The facility has current liability insurance.

Staffing: A total of eight (8) staff members provide care and supervision to the clients.

Personnel Records/Staff Training: Administrator certificate expires 7/25/2025. Four (4) staff files were reviewed. Personnel record, Criminal Record Clearance, health screening/TB clearance, training, zero-tolerance policy, and 1st Aid/CPR was on file.

Client Rights/Information: Physician orders, and personal rights were reviewed in client files.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction