Facility Evaluation Report

03/29/2022 at 9:07 am, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection for infection control and was met by Program Coordinator, Sun Karnsouvong. LPA informed Administrator, Mindy Lee via telephone about the purpose of the visit. Administrator said she'd arrive in about 20 minutes.

At 9:33 am, LPA observed one non-ambulatory client enter the facility and greeted by staff. At 9:37 am, Administrator arrived, introduced herself, supplied the staff roster. LPA observed the outside area and toured the facility inside and out including, but not limited to the program activity area, bathroom, kitchen, and meeting room. Facility was observed clean and odor free. Passageways and hallways were free of obstruction. The hot water measured at 117.5 degrees Fahrenheit. There was a sufficient supply of gowns, sanitizer, gloves, face shields, surgical masks, soap, paper supplies and N95's. First aid kit was observed, fire extinguisher last serviced 11/27/2021, smoke detectors were observed, the room temperature was noted at 66 degree Fahrenheit. The Day Program does not handle P & I money, medications or serve food to the clients.

No citations made during this visit. Exit interview conducted and a copy of this report provided.