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25 | Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met Margie Kimble, administrator and discussed the purpose of today's visit. Facility is licensed to serve four (4) non-ambulatory Developmentally Disabled clients who are age 18-59. Facility is approved for delayed egress and secured perimeters. Three (3) clients residing at this home receive case management services provided by San Gabriel Pomona Regional Center. Annual fees were current. Administrator certificate is current and expires on 9/26/25.
For today's visit, CARE tool was used, staff/clients were interviewed, physical plant was conducted, and medications/food supply/staff files/client's files were reviewed.
The facility is a single-family home located in a residential neighborhood and consist of three (3) client bedrooms, one (1) full bathroom, one half (1/2) bathroom, living room, kitchen, den, dining area and laundry area. All rooms were in compliance. Bathrooms were clean and operable. Adequate linen and personal hygiene supply were in stock. Dual Smoke/Carbon monoxide detectors were tested and operable. Hot water temperature measured at 117.0 degrees Fahrenheit. The last Fire/ Emergency Drill was conducted on 09/06/24. Delayed egress and audio device are working. Back yard activity area had shaded area with chairs and free of debris/ hazard. Sufficient supply of perishable and non-perishable foods were observed. Medications were centrally stored, locked and the records are current. Medication that requires refrigeration were locked and stored inside the refrigerator. Hazardous items are locked and inaccessible to clients. Fire extinguishers were fully charged and located in the kitchen. Comfortable temperature of 73 degrees Fahrenheit for clients was maintained.
No deficiencies cited per California Code of Regulations, Title 22, Division 6.
Exit conference is conducted. LIC 809 is discussed and provided to facility administrator.
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