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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600025
Report Date: 10/21/2022
Date Signed: 10/21/2022 10:14:27 AM

Document Has Been Signed on 10/21/2022 10:14 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:BEST FRIENDS SOCIAL CENTER INC.FACILITY NUMBER:
198600025
ADMINISTRATOR:VICTOR STEWARTFACILITY TYPE:
735
ADDRESS:728 E. MCKINLEY AVENUETELEPHONE:
(909) 629-9177
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 6CENSUS: 6DATE:
10/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Genester Barnes/S-1TIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Genester Barnes/S-1 and explained the purpose of today's visit.

This home consists of (3) bedrooms, 2 full-bathrooms, living room. kitchen, dinning area, laundry room, office and has a detached garage. San Gabriel Pomona Regional Center provides case management for all clients residing at this facility.

The following were observed/inspected:
  • COVID-19 Infection Control Practices (including signs) were observed.
  • Signs are posted to promote hand washing, cough/sneeze etiquette, and physical distancing.
  • Bathrooms had hand soap, paper towels and hand washing signs.
  • Medication reviewed for Client #1 through Client #6 (C-1 through C-6). Medication is stored and locked inside the hallway closet.
  • Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed.
  • PPE supplies observed.
  • Hygiene supplies observed.
  • Incontinence supplies observed.
  • Hand sanitizers observed throughout the facility.
  • Staff responsible for direct care and supervision were observed wearing masks.
  • Clients were socially distanced according to local public health guidelines.
  • Per S-1, all (6) clients are fully vaccinated and have the 2nd booster.
  • Per S-1, all (6) clients have their flu vaccine.

Exit interview conducted, a copy of this report and Appeal Rights were provided to Genester Barnes/S-1
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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