Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza made an Announced visit and met with Licensee Dewalt Brown and Administrative Assistant Brandon Brown to conduct a Pre-Licensing evaluation.

An application was submitted to Community Care Licensing Department (CCLD) on 1/13/2025 for an initial application of an Adult Residential Facility (ARF) to serve developmentally disabled adults ages 18-59. The home will be a level 4i Adult Residential Facility (ARF) vendored by San Gabriel/Pomona Regional Center. The total requested capacity is for six (6) ambulatory residents.

Structure: Facility is a single-story home located in a residential area consisting of four (4) bedrooms [2 private and 2 shared], three (3) bathrooms, kitchen, dining room, living room, laundry room in the garage, 2 car attached garage, and backyard patio area. Front yard is landscaped with grass. Bedrooms: Two (2) bedrooms are designated as private bedroom and two (2) will be shared. Bedrooms are equipped with one bed, night-stand, chair, lamp, and overhead lighting. Bathrooms: Three (3) full bathrooms are equipped with working toilets, wash basins, bathtub/ walk-in shower. Linens & Hygiene Supplies: All beds had the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linens are stored in facility closet. Emergency Phone Numbers, Exit Plan: Emergency numbers are posted and readily available for review. _____ Three (3) fully charged fire extinguishers are in place. Facility has an operable land line telephone. Food Service: Dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery, and other sharp kitchen utensils were observed locked and inaccessible. Adequate food supply is stored in the kitchen and consists of the following: 2-day perishables, and 7-day non-perishables. Smoke Detectors /Carbon Monoxide: There are battery operated dual carbon monoxide/smoke detectors located in all bedrooms, common areas, and hallways. Appliances: Refrigerator , oven, microwave, dishwasher and washer/dryer are in good condition. The residence is equipped with central heating and air conditioning. Toxins: Cleaning supplies, and toxins are locked only accessible to staff.