Senior Care Records.

Facility Evaluation Report

Victory Residential, West Covina10/07/2023Licence 198603562

Capacity4
Census3
Date signed10/07/2023 04:17:42 PM
The inspector’s account

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with staff Asanya Chukwuebuka who assisted with the visit. Licensee Anthony Johnson and Back up Administrator Adejoke Johnson arrived shortly after. LPA explained the reason for the visit.

The physical plant was inspected along with COVID-19 procedures, medications, food supply, and clients and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. There are currently 3 clients residing at the home and receive services from San Gabriel / Pomona regional Center. Two (2) clients were out with families at the time of visit.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The single-story facility included: living room, kitchen, dining area, office/staff room, 3 client bedrooms (2 private, 1 share), laundry area in the hallway, front yard and back yard. There are 2 fireplaces located in the living room and in the office area which are covered by a screens. Backyard has a shaded seating area for clients use. There is a detached garage in the backyard and inaccessible to clients. The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstruction. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the garage. Sign in sheet, hand sanitizer, gloves and masks are available.

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 hot water temperature was tested and was measured within Title 22 Regulation guidelines. Extra linens, blankets, towels, and personal hygiene supplies were observed. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to clients.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction