Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced required annual inspection and met with DSP, Norma Alvarez who allowed the entry of the facility and explained the reason of the visit. Administrator, Omar Sapalaran arrived shortly after and assisted with the visit. The facility is licensed for four (4) non-ambulatory age 18-59. The facility is vendorized as Level 4C home with San Gabriel Pomona Regional Center.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and here are the domains that LPA inspected:

Infection Control: The facility has an updated infection control plan in place. The facility continues to practice hand washing and disinfect the facility every shift. The facility also 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, dining area, living room, four clients’ bedrooms, two clients’ bathrooms, laundry room and a detached garage and a storage room. Each client's room has one bed, one drawer, one chair, required furniture and beddings, and sufficient lighting and closet space. The two client's bathrooms are clean, sanitary and in a good working condition. The hot water temperature in two client's bathrooms are tested between 105.9 and 106.5-degrees F which is within the Title 22 regulation. All the appliances in the kitchen are working properly. The sharp knives and utensils are stored in the kitchen drawer next to the stove. All the cleaning supplies and chemicals are stored and locked in the garage. The facility has a telephone on the premises. The hallway night will be on during nighttime so clients can have access to the non-private bathrooms. The extra personal hygiene products are stored in the garage. Carbon Monoxide detector was tested and working properly. One (1) Fire Extinguisher in the kitchen and is fully charged.