Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted the unannounced Annual Inspection and met with Administrator John Wilson-Ekaun who allowed the entry of the facility and explained the reason of today's visit and will be using the Compliance And Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed for age range 18 through 59 and ambulatory only. The facility is vendorized as a Specialized home with San Gabriel Pomona Regional Center.

The following domains were reviewed during today's annual required visit which included: infection control, physical plant and environmental, operational requirements, staffing, personnel records-training, client rights-information, client records-incident reports, food service, health related services, incidental medical services, disaster preparedness and emergency intervention.

1. Infection Control: The facility has an approved infection control plan and sufficient PPE supplies in place. The facility staff continue to practice hand washing and using gloves in the facility. Staff would clean and disinfect once a day or more often for high touched surfaces area.

2. Physical Plant and Environmental Safety: The facility is a single-story house and located in a residential neighborhood area. The facility includes dining area, living room, kitchen, four clients’ bedrooms and two client's bathrooms and a detached garage. Each client's bedroom has one bed, chair, drawer, nightstand and 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 two client's bathrooms hot water temperature were tested from 105.9 degrees F to 108.1 degrees F which are within the Title 22 regulations. All the kitchen appliances are working properly. All the sharp knives are stored and locked in the cabinet next to the dining table.