The facility has an approved fire clearance to be licensed to serve four (4) ambulatory clients. The facility is a one-story home in a residential neighborhood. It contains three (2) bedrooms, two(2) shared and one (1) full bathroom and one half bathroom by laundry area., a living room, a dining room, , a kitchen, an unattached garage, and a back yard patio area located in Monterey Park, CA

The physical plant was toured inside and out alongside Gil Calingasen Administrator and Doctor Harold Fajardo Licensee. The Pre-Licensing Inspection Tool was used.

The following was observed/inspected:

· Cleaning supplies are kept separate from food and located in a locked cabinet under the kitchen sink.

· Facility wall in one client room needs cleaning or painting, door also requires locking knob. ceilings, floors, window screens and areas around the facility are clean and in good repair. Window in the one shared room needs repair or replacement. In same room, the strip on the edge of door needs to be removed or have a doctor’s order as door is not able to close with the strip on the edge of the door.

· Fire extinguisher and smoke detectors operate properly.

· Doors and passageways are free of obstruction.

· There are no pools/bodies of water at the facility.

· Facility does not have firearms on premises.

Facility sketch and sample menus were posted and visible within the facility.

· There is an emergency exiting plan with emergency phone numbers posted and visible within the facility.

· Facility has a current disaster and mass casualty plan maintained at the facility.

· There is no plan for employee accommodations and staffing arrangements.

· Operating telephone is on the premises and will be available to clients.

· One vehicle assigned to facility.

· The facility currently has 3 clients and client records were reviewed.

· First-aid supplies are maintained and readily available.

· Refrigerator and freezer were observed and are maintained at the correct temperatures.

· Food storage and preparation are clean and appropriate for food preparation.

· Hot water temperature was tested and is within the required range of 105-120 degrees F.

Medications and client files are locked and inaccessible to clients.

Component III was completed during the visit today on 02/28/2025.

Facility is not ready for license.

The facility needs to take care of the following issues:

1) C1 room needs cleaning or painting on one wall

2) C1 door requires locking knob

3) C2, C3 door needs to close and lock and requires doctor’s orders to have the protective strip on the edge.

4) C2, C3 small window needs repair or replacement.

5) Full bathroom vent needs cleaning

6) Full bathroom light fixture requires paint or replacement.

7) Outside needs shade and chairs.

8) Black out curtains in C1 and C2,C3 room, dining room and kitchen.

9) C1, C2 needs updated LIC602

10) C2 Current IP

An exit interview was conducted, and a copy of this report has been furnished to Gil Calingasen Administrator and Doctor Harold Fajardo Licensee Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. LPA will return to facility when corrections have been made. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.