Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with House Manager Melissa Villanueva and explained the reason for the visit. The physical plant was inspected along with medications, food supply, and resident and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. Approved for four (4) non-ambulatory client. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center.

LPA and House Manager toured the home and inspected (4) client bedrooms, (2) bathrooms, kitchen, dining room, living room, exercise room, office room, and attached garage. Laundry area was observed in the garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the backyard. Passageways and exits are free of obstruction.

LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the garage. Client bedrooms were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathrooms were toured. Bathrooms are clean and have the required hygiene items. The water temperature was tested in both bathrooms and measured at 107.8F in bathroom #1 and 114.2F in bathroom #2 which is within the required 105 - 120 degrees. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked in a kitchen drawer and are inaccessible to clients. The fire extinguishers observed to be fully charged. Smoke/carbon monoxide detectors were observed to be fully operational. All clients medications were reviewed.