Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted the unannounced Annual Inspection and met with Administrator Bundi Nyaga who allowed the entry of the facility and explained the reason of today's visit and will be using the Compliance And Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed for age range 18 through 59 and ambulatory only. The facility is vendorized with San Gabriel Pomona Regional Center.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical Services, Disaster Preparedness, and Emergency Intervention.

Infection Control Plan: The facility has an updated Infection Control Plan in place. The staff practice hand washing and using gloves in the facility. Staff would clean and disinfect once a day and more often for high touched surfaces area. Facility has sufficient PPE supplies.

Physical Plant and Environmental Safety: The facility is a single-story house and located in a residential neighborhood area. The facility includes kitchen, living room, staff work area, dining area, three client’s bedrooms, staff bathroom, one client bathroom, laundry room and an attached garage. Bedroom#1 has two beds, two chairs, two drawers, required furniture and beddings and sufficient lighting and closet space. Bedroom#2 and #3 has one bed, one chair, one night stand, one drawer, required furniture and bedding and sufficient closet space and lighting. The client bathroom is clean, sanitary and in a good working condition. Toilets and faucets are in working condition. The hot water temperature tested between 105.6 and 110.4 degrees F which is within the Title 22 regulation. All the kitchen appliances are working properly.