Facility Evaluation Report
Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit using the Infection Control Evaluation Tool. LPA met with staff Ohia Loyce and explained the reason for the visit. Administrator Latonia King arrived at 2:50pm and assist with the visit. LPA used the infection control tool to evaluate the facility. The physical plant was inspected along with COVID-19 procedures, medications, food supply, and resident and staff records. Facility submitted mitigation on 06/29/21. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. The facility is located in a residential area. LPA toured the home and inspected living room, dining area, kitchen, 4 bedrooms, 2 bathrooms and attached garage / office. Laundry area was observed in the garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area / patio for the clients located in the backyard. Passageways and exits are free of obstruction. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the garage. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing mask upon entrance and during visit. Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathrooms were toured. Bathrooms are clean and have the required hygiene items. The hot water temperature was tested and was measured within Title 22 Regulation guidelines. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to clients.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction