Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit. LPA was met by Lerma Castardo, Caregiver and explained the purpose of the visit. Shortly after, Omar Sapalaran, administrator arrived and assisted LPA. The facility is license to serve (4) non ambulatory ages 18 through 59. Services for the clients are provided by San Gabriel Pomona Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The required cleaning and disinfection activities are performed. Infection control practices and Personal Protective Equipment (PPEs) were maintained. Staff are adhering to infection control requirements.

Physical Plant & Environment Safety: This facility is a single story home consists of (4) client

bedrooms, (2) bathrooms, living room, kitchen, dining area, laundry room, attached garage and backyard. There is a separate dwelling unit in the property, next to the garage used as the administrator's sleeping room. There are (4) clients residing in the home. Client bedrooms were toured and have sufficient storage space and lighting. LPA observed knives/sharps, cleaning solutions and pesticides stored in an unlocked cabinets in the kitchen. Staff stored the items in a locked cabinet during the visit. There are interconnected hard wired smoke and carbon monoxide combo detectors that were tested and operable. No security window bars installed. Facility has working telephone service. Water temperature readings are within the required 105 - 120 degrees Fahrenheit. Indoor and outdoor passageways were kept free of any obstruction. LPA observed a lock in the exterior gate. There are no pools or large bodies of water. Backyard was inspected and has a sitting area with outdoor furniture.

Operational Requirements: Staff provide necessary personal assistance and care based on the clients' needs and services plan. Facility handles clients' cash resources and a surety bond in the amount of $1000 is in place. There is also a valid liability insurance. Fire extinguisher was purchased in 2024 and has not been serviced. Administrator purchased a new one during the visit. The outdoor activity area in the backyard provides a shaded area and furnished for outdoor use.*****Refer to LIC 809C for the continuation of this report.*****