Facility Evaluation Report

On this day at around 9:00 0 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA met with Michelle Bolivia, Program Director. LPA explained to Bolivia purpose of the visit.

LPA inspected the Adult Day Program (ADP) inside and out including but not limited to

different activity rooms, quiet room, computer room, music room and bathrooms and outside area.

There were 17 clients and 5 Direct Support Professionals (DSPs) observed in the day program. The rest of the clients and staff were out in the community for different activities. Hot water measured at 111.6 Fahrenheit in two bathrooms. The program has a kitchen/dining/washing area. ADP does not provide meals to the clients. Clients bring their own food. There were multiple fire extinguishers observed that were full and last inspected on 4/12/2024. Carbon monoxide in the kitchen and activity room were tested and observed functional. Smoke detectors were last inspected in May 15, 2024. Last fire drill was conducted on 11/6/2024 and last earthquake drill was completed on 2/13/2025. The program has a designated quiet room that is being used if a client is sick or not feeling well.

At around 9:25 am, LPA reviewed 5 staff and 5 client records. All staff are fingerprinted cleared and associated to the facility. Staff have current first aid and CPR training.

No deficiencies were noted during the visit.

The following records need to be submitted to CCL by March 10, 2025: Lic 500, Roster of Clients, Liability Insurance, Infection Control Plan, Emergency Disaster Plan, Registration/Insurance/Driver License.

Exit interview was conducted with Bolivia and a copy of this report was provided.