Facility Evaluation Report

On 06/25/2025, Licensing Program Analysts (LPA) L. Salazar arrived at the facility unannounced to conduct the annual required visit. LPA was greeted by the Program Director (PD) stated the purpose of the visit and was allowed entry into the facility.

LPA toured the facility inside and out. LPA observed the facility to be clean and free from odor. Required hand washing signs were observed in the bathrooms. Facility temperature measured at 74 degrees F. Disinfectants and cleaning supplies were observed to be locked in a utility closet in the hallway and inaccessible to clients. First Aid kits were observed to have the required items. LPA toured the facility inside with Program Manager. An updated Infection Control plan was received prior to LPA's inspection.

Emergency disaster plan and procedures are in place. Emergency numbers and facility sketch were observed to be posted. Assembly points and water shut offs were observed on the sketch. Last fire drill was conducted on 06/11/25. Doors and passageways were observed to be free from obstruction throughout the program. Fire extinguishers were observed with a service date of 04/10/25. Client and staff files will be reviewed at a later date.

LPA requested the following updated forms to be faxed to CCLD by 7/11/25: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Client Roster (LIC 9020) that identifies which individuals reside in an Intermediate Care Facility, and Emergency Disaster Plan (LIC 610D). No deficiencies cited on today's visit.