Facility Evaluation Report

Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required Inspection. LPA explained the purpose of the visit with staff (ADM, MOD).

LPA inspected the facility including, but not limited to, bathroom, kitchen, stimulation room, two (2) changing rooms, theater room, arts and crafts room, activity room, office space and conference space. LPA observed a screening station at the front entrance for staff, clients and visitors. The facility has two (2) bathrooms. Hot water temperature in a client's bathroom measured at 117 degrees, F. The facility temperature maintained at 74 degrees F. Facility maintains a 1:3 staff to client ratio. Clients supply their own lunch and snacks. Drinking water is available for staff and clients. The facility administers medications to clients at day program. Program provides training regarding independent living skills and social skills. Community outings, activities and exercise sessions are also provided. Toxins, medications and sharps observed stored locked. Staff does not handle client's cash resources. Facility has four vans to transport clients. Van maintenance conducted on a regular basis. Administrator is the infection control leader. Fire extinguisher was observed fully charged and last inspected on 09/03/24. First aid kit, smoke detectors and carbon monoxide were observed operational. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Exits/passageways were observed free of obstruction. Staff present has fingerprint clearances and associated to the facility. Earthquake & Fire drills conducted every 4 months. LPA reviewed 5 client & staff files. LPA interviewed 2 staff and 2 clients during visit. There were no deficiencies observed/cited during inspection today.