Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with staff Lidia Small and Karla Williams. Administrator Kevin Piggee was explained the purpose of the visit telephonically. There are five (5) ambulatory developmentally disabled adults ages 18-59. The facility is licensed as a level 4G home vendored by San Gabriel/Pomona Regional Center. The inspection was completed using the CARE tools. Twelve (12) CARE tools domains were reviewed.

Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility encourages hand washing and self symptom check of staff and visitors. COVID-19 isolation plan is in place. The facility has an Infection Control Plan and COVID-19 mitigation plan.

The facility is a single story home located in a residential neighborhood that is licensed for 4 ambulatory and 2 non-ambulatory clients. It consists of 3 bedrooms, 2 bathrooms, living room, family room, dining room, office room, laundry room, kitchen, outdoor covered patio, and attached garage.

The interior and exterior physical plant was inspected. 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. The facility has one (1) fully charged fire extinguisher. Knives, cleaning supplies, and toxic substances are locked and inaccessible to clients. There are no firearms or weapons stored at the facility.

Water temperature readings did not measure between the required 105 - 120 degrees Fahrenheit. The the kitchen hot water measured 135.5 DF, bathrooms measured 137.7 & 138.9 DF. Citation was issued.

The beds in rooms #3 & #4 do not have mattress pads. Citation was issued.