Facility Evaluation Report

Licensing Program Analyst (LPA) N. Galarza conducted a case management visit to inspect the facility for a capacity decrease from six (6) non-ambulatory to four (4) non-ambulatory clients. LPA met with Administrator Lilibeth Esguerra and explained the purpose of the visit. The facility is licensed to serve developmentally disabled clients (ages 18 through 59 years). The fire safety inspection for a capacity decrease was granted by Inspector G.Layton of the West Covina Fire Department on 11/30/2022.

LPA toured the facility to observe the facility sketch changes. Bedroom #1 - #4 will be private bedrooms. The office room was converted to bedroom #3. The office room is now located in the former staff room adjacent to the kitchen. Bedroom #1 & bedroom #2 have exit doors to the exterior of the facility.

On October 26, 2022, the San Gabriel/Pomona Regional Center provided a capacity decrease support letter. The last annual inspection was conducted on 7/27/2022. Two (2) deficiencies were observed at the time of the visit and have been cleared.

A new facility license with the capacity change will be mailed to Licensee. Licensee was informed that the old license will be void.

Exit interview was conducted. A copy of the report was issued.