Facility Evaluation Report

On 01/30/2025 at 2:10PM Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Vy Le, Program Director and explained the purpose of the visit. Fire clearance approved for two (2) non ambulatory and twenty-eight (28) ambulatory clients.

LPA toured facility including but not limited to activity rooms, kitchen, bathrooms, office space, and the outside recreational area. Clients bring their own lunches and snacks are provided by the program. Emergency supplies, including water were observed. The hot water temperature in the shared bathroom measured 105.0 degrees Fahrenheit. There is a comfortable room temperature of 68 degrees Fahrenheit for clients in care. Medications and toxins are locked in a cabinet and inaccessible to clients in care. There are no bodies of water or fire safety hazards observed. Restrooms are maintained in safe and in sanitary operating condition. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has seven (7) vans used for client outings and transportation.

LPA reviewed 5 client and 5 staff files; all were complete. Emergency disaster drills are conducted on a monthly basis. Fire extinguishers throughout facility were last inspected 09/19/2024. First aid kit was checked and observed to be complete.