Facility Evaluation Report

On 12/03/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual

inspection. LPA introduced self, stated the purpose of the visit and meet with Administrator Andrina Thompson-Fernandez. LPA completed a tour of the facility with Administrator. 24 clients were present during the inspection the activity rooms.

Facility is maintained at a comfortable temperature and no passageway obstructions or fire hazards were observed. Fire extinguishers throughout the facility was observed with served date:12/14/23. Transportation is available and provided for clients. Kitchen was toured. Clients bring their own lunch to program. Client locked lockers were observed throughout activities room. Client restrooms were tour, observed to be clean, and operational. Hot water temperature was 113.6 degrees in front bathroom, 108.4 degrees in bathroom 1, 108.6 degrees in bathroom 2, and 109.9 in bathroom 3. Chemicals and cleaning supplies were observed locked in the chemical supply closet. LPA observed medications in locked case manager’s office. MAR were reviewed. A sample of client and staff files were also reviewed to have the required documents.

A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. The following documents are requested and to be submitted to Fresno CCL by:

12/09/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610D, and Lic 9020. A copy of this report and appeal rights was provided to the Administrator, whose signature confirms receipt of this report.