Senior Care Records.

Facility Evaluation Report

Delta Home Care III, West Covina09/25/2025Licence 198603577

Capacity4
Census4
Date signed09/25/2025 04:22:31 PM
Name of licensing program analystNoemi Galarza
Name of licensing program managerLisa Hicks
The inspector’s account

Licensing Program Analyst (LPA) Galarza conducted an unannounced annual inspection visit. The purpose of the visit was explained to DSP Michelle Sagad. Administrator Rosamaria Maximo and Assistant Administrator Danielle Maximo arrived later. The facility serves elderly residents ages 60 and older whom are developmentally disabled. The facility is licensed as a level 4 RCFE vendored by San Gabriel/Pomona Regional Center.

Infection Control: The Infection Control Plan was reviewed and includes environmental cleaning and disinfection activities. Facility has sufficient Personal Protective Equipment.

Operational Requirements: A hospice waiver for 4 resident is in place. A fire clearance was granted for 4 non-ambulatory residents of which 1 resident may be bedridden. Facility handles resident P & I monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 6/20/2026. The Surety bond expires 8/15/2028.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood consisting of 4 private resident bedrooms, 2 bathrooms, living room, dining room/kitchen, outdoor patio area with patio furniture, and 2 car detached garage with laundry area. Smoke and carbon monoxide detectors were tested and are operational. The facility has one (1) fire extinguisher. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. The facility has a 1st Aid Kit and Manual. Cleaning supplies, knives, and toxic substances are inaccessible to residents. The last Emergency Disaster drill was conducted on 8/31/2025.

Staffing: A total 7 staff members provide care and supervision to the clients.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction