Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Director Reyna Zavala.

According to the facility’s license, there may be a maximum of eighty (80) developmentally disabled adults ages 18 and above; of which twenty five (25) may be non-ambulatory. The facility does not feature a secured perimeter or delayed egress doors.

LPA’ accompanied by Director Zavala, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. There are 6 (six) working bathrooms in the facility. Doors, sinks, and toilets were clean and in working order. LPA observed a storage with a surplus of incontinence supplies for daily as well as emergency use. LPA observed several areas that are available for privacy such as changing, rest, phone calls and de-escalation.

Hand hygiene supplies and Personal Protective Equipment were present. The facility does not prepare food on the premises and participants bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility has a seclusion room for participants. The facility’s ambient internal temperature was comfortable and compliant with Regulations. Hot water temperature at taps accessible to participant were also compliant.

There were no sharp objects or toxic chemicals/poisons accessible to participants. No pools or bodies of water were observed on the premises. All fire and carbon monoxide detectors are working. Emergency lighting, and facility telephone were all working. Fire extinguishers were operable. First aid kits were complete and readily accessible.