Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced required-1 year inspection. LPA met with Janet Obong, Administrator and discussed the purpose of today's visit. The facility cares for developmentally disabled adults, age range 18 through 59. Facility is licensed for (4) non ambulatory, of which (1) may be bedridden, bedroom #1 or bedroom #3 approved for bedridden clients. The facility is vendorized by San Gabriel Pomona Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Staff are adhering to infection control requirements. The facility has an Infection Control Plan and reviews the infection control procedures in the facility annually.

Physical Plant & Environment Safety: This facility is a single story home consists of (3) client bedrooms, (1) staff room, office area, (2) bathrooms, kitchen, dining room, living room with fireplace, backyard, laundry area in the attached garage. Currently, there are (4) clients residing in the home. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. The smoke alarm in the staff room is not operational. Laundry area is in the attached garage. Knives, cleaning solutions, and disinfectants are locked in a kitchen cabinet and inaccessible to clients. The cabinet under the kitchen sink is dirty, it has cobwebs and some small insects in it. There are no firearms or weapons stored at the facility. Water temperature readings measured in bathroom #1 is 114 deg F and bathroom #2 is 83.4 deg F which is not within the required 105 - 120 degrees Fahrenheit. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and has a shaded area and sitting area.

Operational Requirements: Fire and earthquake drills are conducted on a regular basis, last drill was conducted on 06/17/2025. LPA observed a fire extinguisher in the kitchen has not been serviced since 2022, there are no other fire extinguishers in the facility. Administrator stated that a copy of the Surety bond insurance certificate will be emailed to LPA. The facility provides a shaded and furnished outdoor activity area . Sample menu and a weekly schedule of when meals and snacks are to be served is posted on the refrigerator door. *****Refer to LIC 809C for the continuation of this report.*****