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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600660
Report Date: 02/18/2023
Date Signed: 02/18/2023 12:25:18 PM

Document Has Been Signed on 02/18/2023 12:25 PM - 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:GUIDING LIGHT HOME 1FACILITY NUMBER:
198600660
ADMINISTRATOR:PASCASIO, ZONEL E.FACILITY TYPE:
735
ADDRESS:3762 BALDWIN PARK BLVD.TELEPHONE:
(626) 962-8883
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 6CENSUS: 6DATE:
02/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Eugenia SouzaTIME COMPLETED:
12:45 PM
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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 Eugenia Souza and discussed the purpose of today's visit. Charito Lardizabal (Facility Administrator) arrived at approximately 10:55 A.M..

This home consists of (3) bedrooms, (2) bathrooms, family room, living room, kitchen dining room, office and attached garage. San Gabriel Pomona Regional Center provides case management services to all (6) clients from this home.

The following were observed/inspected: .
  • Signs are posted to promote hand washing, cough/sneeze etiquette, and physical distancing were observed.
  • COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility and throughout the facility.
  • Restrooms have hand soap, hand sanitizer, paper towels and hand washing signs posted.
  • PPE supplies observed.
  • Hygiene supplies observed. Additional supplies stored inside the garage.
  • Incontinence supplies observed. Additional supplies stored inside the garage.
  • Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed. Additional food supply including water supply are stored inside the garage.
  • Medication reviewed for (3) Clients (C-1 through C-3).
  • Per Administrator, all clients have the COVID-19 vaccine and first booster.
  • Per Administrator, all staff have the COVID-19 vaccine and first booster.
  • Clients were be socially distanced according to local public health guidelines.
  • Staff were wearing their masks.
Exit interview conducted, a copy of this report and Appeal Rights were provided to Charito Lardizabal
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2023
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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