Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained telephonically to Myrabel Vitangcol. Assistant Administrator Alice Reyes assisted with the visit. The facility is licensed as a level 4C Adult Residential Facility (ARF) vendored by San Gabriel/Pomona Regional Center.

Infection Control: The Infection Control Plan includes Environmental cleaning and disinfection activities. Facility Personal Protective Equipment.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood that is licensed for 4 ambulatory only clients. It consists of 4 resident bedrooms, office room, living room, dining room, kitchen, 2 bathrooms, backyard patio area, and attached garage. All client bedrooms had the required furniture for comfort and safety and had sufficient lighting. All outdoor passages were free of obstruction. Bathrooms were clean, toilets and water faucets worked properly. Water temperature was measured. Client bath towels, toiletries and personal hygiene supplies were adequately available. All storage areas for cleaning solutions, toxins, knives, and hazardous items are in locked cabinets. Smoke detectors and carbon monoxide detectors are operable and in compliance. There is one fire extinguisher and fire pull alarm. The facility has a 1st Aid Kit and Manual.

The kitchen sink and one bathroom hot water temperature did not measure within 105 -120 DF.

Operational Requirements: Fire clearance is approved for four (4) ambulatory only residents. Care and supervision to meet the clients needs was observed. No special equipment and supplies are used by clients. Facility manages residents P & I monies. The Surety Bond is current, with an effective date of 9/3/2024.

Staffing: A total of 9 staff members provide care and supervision to the clients.