Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA was greeted by DSP worker Melissa Munoz at approximately 8:06 AM and explained the reason for the visit. Acting House Manager Julianna Barrera took over visit.

The facility is licensed for age range 18 through 59. 4 non-ambulatory and with delayed egress. The facility is serviced by San Gabriel Pomona Regional Center. The facility is a single-story house and located in a residential neighborhood area. The facility includes dining area, living room, kitchen, three (3) client bedrooms, one (1) activity room, four (4) common bathrooms, one (1) private bathroom in room #4 office, laundry room, medication room/extra food storage room and an attached garage.

LPA Gutierrez conducted a tour of the facility, reviewed records, and interviewed 1 staff, and 2 clients. The following were observed: Three (3) bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Client beds have the required linen. Each bedroom has a smoke detector which were tested. There is a carbon monoxide detector located in the hallway and another in the living room area. The bathrooms were observed to be clean. The hot water was between 108.9 to 113.6 degrees which is within the required 105 - 120 degrees. There is a fire extinguisher in the living room and is fully charged. Sharps are locked in the kitchen and inaccessible to residents. Cleaning supplies and toxins are locked in outside cabinet and inaccessible to residents. First Aid kits were fully stocked with current manuals. There was a sufficient supply of 2 days perishable foods which included fruits and vegetables. Seven (7) days non-perishable foods were observed. The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstruction. Backyard has a front and back patio area and a shed which is a storage area for the facility.