Facility Evaluation Report

12/30/2024 around 08:45 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection LPA met with Staff (S1) Mey Phan who contacted Mindy Lee, Program Director (PD) and advised about the purpose of the visit. PD arrived about 10 minutes later.

Upon entry, there we not any clients present. Around 09:15 AM, LPA observed one client enter the facility and greeted by staff. PD supplied a resident and staff roster, personnel records and client files. That facility serves full-time and part-time clients in person and via zoom. LPA observed the outside area and toured the facility inside, including but not limited to the program activity area, bathroom, kitchen. Facility was observed clean and odor free. Passageways and hallways were free of obstruction. The hot water measured at 114 degrees Fahrenheit (F). A sufficient supply of gowns, sanitizer, gloves, face shields, surgical masks, soap, paper supplies and N95's remain stocked. First aid kit was observed complete, fire extinguisher last serviced 10/18/2024, smoke detectors were observed operational, the room temperature was noted between 63-71 degree F to moderate temperature between the 1st and 2nd floors. The Day Program does not handle Personal and Incidental (P&I) money, medications or serve food to the clients.

Provide the following documents to CCLD by 01/06/2025:

LIC 308 Designation of Administrative Responsibility

LIC 500 Personnel Report (Updated during visit)

LIC 610 Emergency Disaster Plan (Reviewed)