Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted a subsequent unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Assistant Administrator Latonya King who allowed entry of the facility and LPA explained the reason of the visit. The facility is approved for serve Developmentally Disabled Adults AGE RANGE 18 THROUGH 59. 4 non-ambulatory and approved for Delayed Egress. The facility is vendorized as Level 4 Home with San Gabriel Pomona Regional Center.

The following twelve (9) tool domains were observed and reviewed:, Operational Requirements, Staffing, Personal Records-Training, Client Rights/Information, Client Records/Incident Reports, Health Related Services, Incidental Medical Services, Disaster Preparedness and Emergency Intervention.

1. Operational Requirements : Currently all the clients in the facility are ambulatory which is within the fire clearance approved. The last fire drill was conducted on 12/1/2024. The facility has a covered patio with table and chairs for clients to utilized for outdoor activity. The facility would also allow clients to attend community activities if there's an opportunity or if client wanted.

2. Staffing: The facility has sufficient staffing in the facility. The NOC shift staff has the required facility planned emergency procedure training.

3. Personnel Records-Training: All the staff files are stored in the administrator office. All the staff in the facility are over 18 years old, background check cleared and associated with the facility. LPA inspected four (4) staff files and all have the required documents which included: health screening, TB test result, required training hours and updated first aid/CPR certificate. The facility Assistant Administrator is Latonya King, and her administrator certification will be expired on 09/26/2026 and she has the required HIV and TB training certificate on file. (continued on 809D)