Facility Evaluation Report

On 1/13/26, Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and met with Program Director (PD) Amanda Brewer. Some clients were participating in Community Integration and some were programming in the facility during the inspection. LPA conducted facility tour with PD.

LPA toured the facility. All passageways and exits were clear and free from obstruction. Facility was at

comfortable temperature. The Day Program has 9 classrooms. LPA toured lab room, library, art room, media room, gym, music room, computer club, game room and kitchen. All classrooms and activity areas were clean and odor free. Clients bring their lunches. Kitchen is for small cooking experiences and appeared clean. Food was observed to be stored in refrigerator and freezer. Client’s bathrooms were observed clean, and fixtures were functioning properly. Cleaning supplies observed stored and locked in supply closet. Facility quiet room and changing room was toured. Fire extinguisher observed throughout the facility with a serviced date 12/17/2025. Carbon monoxide was tested and observed to be operational. Fire drill last completed 10/9/25. Samples of client and staff files were reviewed to have all required documents. First Aid/CPR, fingerprinted clear and associated to the facility. Water temperature measured at a range of 107.7 to 109.5 degrees F in 6 bathrooms. A sample of medication was reviewed with client MAR. 1 medication observed to not have been initialed by staff after client self administered.

The following deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 1/27/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance-RCFE, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A)

A copy of this report with Appeal Rights was distributed Program Director whose signature confirms receipt of this report.