Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit. LPA met with staff Corazon Bondoc. Administrator Olivia Tomines arrived shortly after and assisted with the visit. LPA explained the reason for the visit. LPA used the infection control tool to evaluate the facility. The physical plant was inspected along with medications, food supply, and clients and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. Three (3) clients were at the Day program at the time of visit. The facility is located in a residential area. LPA toured the home and inspected living room, dining room / den, kitchen, 4 bedrooms, 2 bathrooms and the garage. Laundry area located in the garage. Laundry detergent observed in the garage to be locked and inaccessible to clients. The front and backyard are well maintained and there are no pools or large bodies of water. LPA observed shaded area ( wood canopy with the cover) in the backyard. Passageways and exits are free of obstruction. There is a activity supplies cabinet in the corner of den. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathrooms were toured. Bathrooms are clean and have the required hygiene items. The hot water temperature was tested between 100.3 and 100.8 degrees F. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to clients.