Facility-requested visit·March 13, 2023

Licensing Program Analyst (LPA) Cynthia Chan conducted a case management visit for a capacity change. LPA met with Administrator Trupti Mody. The licensee initiated a capacity change from 6 to 4. The fire clearance was approved on 10/26/22 for a total of 4 developmentally disabled residents, ages 60 and above: (3) non-ambulatory and (1) bedridden. Only (1) bedridden resident is approved for room #5. Rooms #2, #3, #4, and #5 are designated as resident rooms. All 4 residents were placed by the San Gabriel/Pomona Regional Center. LPA toured the facility and observed the following: * Rooms #2, #3, #4, and #5 are occupied by residents. Each resident currently has their own room and has the required furniture. * Room #1 is being used as storage and will be used as a staff room. * The room next to the kitchen is used by the live-in staff. * There are extra clean linens and towels for residents. * There are tables and chairs set up for 4 residents. * The food supplies are sufficient for the current census. An exit interview was conducted. A copy of this report was given to Administrator Mody.