Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Administrator Jocelyn Manalo. Administrator left the facility. DSP staff assisted with the visit. The facility is licensed as level 2 Adult Residential Facility (ARF) that serves developmentally disabled residents ages 59 and under vendored by San Gabriel/Pomona Regional Center.

Infection Control: The Infection Control Plan includes Environmental cleaning and disinfection activities. Facility has sufficient Personal Protective Equipment/supplies.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood consisting of 4 client bedrooms, kitchen, living room, dining room, activity room, backyard, garage, and two (2) bathrooms were observed. Smoke and carbon monoxide detectors were tested and are operational. The facility has two (2) fire extinguishers. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. The facility has a 1st Aid Kit and Manual. Cleaning supplies, knives, and toxic substances are inaccessible to residents. Exit doors are free of any obstruction and there are no pools or large bodies of water.

Operational Requirements: Fire clearance is approved for two (2) ambulatory and two (2) non-ambulatory residents. Care and supervision to meet the clients needs was observed. No Special equipment or supplies are used by residents. The Surety Bond expires 4/5/2026.

Staffing: A total of 4 staff members provide care and supervision to the clients.