Facility Evaluation Report

Licensing Program Analyst, (LPA) K. Nguyen arrived unannounced to conduct a required annual inspection on September 11, 2024, at 11:25 AM and met with Jasmine Williams, Area Director. Toured all but limited to activity rooms, quiet room, kitchen, computer room, and outdoors. Facility clean and in good repair and in conformity with Fire Marshall Regulations. Fire extinguishers serviced on 10/4/2024. Water temperature 118.9 degrees. Indoor and outdoor exits free of obstruction. This facility is licensed for 45 non-ambulatory clients.

LPA reviewed 5 client and 3 staff files. Clients have medical assessments, admission agreements, and updated needs and services plans. Staff have updated CPR/First Aid and yearly training hours. There are 6 vans available and maintained in safe operating condition.

Area Director stated that the program do not keep clients medications, and no client are on oxygen. Clients bring their own lunches and facility provides snacks. Emergency supplies, including water were observed. LPA observed there are no clients at the program, due to the daily community outing.

-LPA observed clients IPP is not update over a year.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview conducted. A copy of this report and appeal rights provided.