Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit. LPA met with Licensee / Administrator. LPA explained the reason for the visit. LPA used the CARE infection tool to evaluate the facility. The physical plant was inspected along with medications, food supply, and clients and staff records. Facility submitted infection control plan to CDSS. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. All three clients were at the Day program at the time of visit. The facility is located in a residential area. LPA toured the home and inspected 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. 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.