Facility Evaluation Report

On 11/15/23, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to conduct the required Annual Inspection Visit. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. Administrator provided a tour of the facility inside and out.

LPA observed 5 classrooms and a library the time of visit. Classrooms were observed to have 3 clients to 1 staff. Facility was observed to be from any passageway obstruction / fire hazards. Facility temperature was 76 degrees F. Bathrooms were toured and observed to clean and free from odor, have operational lights, running water. Trash cans with tight fighting lids and hand washing postings were observed.

Clients bring their own lunches to program. Facility has a food program through USDA that provides breakfast, snacks and lunch. There is also a snack bar/store available for clients to purchase their own food,

Facility does disperse medications. Medications were observed to be locked in a medication room located in a conference room. Cleaning supplies were observed to be locked in the janitor's closet. There are no clients with a Restricted Health conditions in the facility. First aid kit was observed and contained all required items.

Smoker detectors were observed to be hard wired. Fire Extinguishers were observed throughout the facility with a service date of 03/31/23. A sample of client files were reviewed and observed to have Admission agreement, Needs and Service Plan, and annual Medical Assessment. A sample of staff files were also reviewed. Staff files were observed to have 8 hours of documented training and current First Aid/CPR certifications. Staff present at today’s visit were fingerprinted clear and associated to the facility. Emergency Disaster Drill logs were observed for all staff. Last drill was an earthquake drill conducted 10/19/23.

The following documents were received at the time of visit: LIC500, Emergency Disaster Plan/LIC 610D. LPA requested the following updated annual forms: LIC 308; LIC 999 (Facility Sketch) and LIC 9020 (Client Roster) to be submitted to Fresno CCL by: 12/01/23: An exit interview was conducted with Administrator. A copy of this report was discussed and provided at the time of visit. No deficiencies cited on today's visit.