Facility Evaluation Report

On 01/14/2025 at 1:25 PM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Program Director, Christina Ilao, and explained the purpose of the visit. Day program operates from Monday to Friday 9:00 AM to 2:30 PM.

During the visit, LPAs inspected the Adult Day Program (ADP) including but not limited to bathrooms, activity rooms such as Arts and Crafts, Media , and Music Room. Hot water temperature measured at 120 degrees Fahrenheit in one client bathroom. There were fire extinguishers observed and last serviced on 11/01/2024. Room temperature was observed at 72 degrees Fahrenheit.

LPA reviewed 5 staff and 6 client files. All staff are fingerprint cleared and associated to the ADP.

THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT:

At 1:45 PM, LPAs observed wooden table blocking the emergency exit door.

At 1:50 PM, LPAs observed scissors in the kitchen unlocked

At 2:10 PM, LPAs observed that there was 18 clients that was non ambulatory and the facility is only approved for 15 non ambulatory clients. Facility is over capacity. Civil penalty of $500 is being assessed.

At 2:54 AM, LPAs observed that S2, S4, and S5 does not have the TB test result on file.

At 2:56 PM, LPA observed that S3 and S5 does not have First Aid Certification and CPR.

The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview was conducted with Administrator and Appeal Rights was provided.