Senior Care Records.

Facility Evaluation Report

Achievement Center, the, Delano07/17/2024Licence 150406303

Capacity60
Census55
Date signed07/18/2024 04:15:14 PM
The inspector’s account

On 07/17/2024, Licensing Program Analysts (LPAs) L. Salazar and M. Medina arrived at the facility unannounced to conduct the annual required visit. LPAs were greeted by the Program Manager (PM), stated the purpose of the visit and were allowed entry into the facility.

LPAs toured the facility inside and out. Facility was observed to have 4 rooms (3 classrooms & 1 kitchen) and 4 bathrooms. LPA observed 10 staff members present at the facility. First Aid kit observed. Water temperature measured at 108 degrees F.

LPA observed the facility to be in need of deep cleaning and painting on and around the doors/doorframes. Floor located between the bathrooms near the exit door is uneven and cracked and needs replacement. Facility was free from odor. Facility temperature measured at 74 degrees F. Disinfectants/cleaning supplies (Fabuloso) were observed to be unlocked in the cabinets located in the main women's bathroom. Chemicals were removed and placed in a locked janitor closet at the time of visit.

Emergency disaster plan and procedures are in place. Last fire drill was conducted on 5/23/2024. Doors and passageways were observed to be free from obstruction. Fire extinguishers were observed with a service date of 04/23/24. Client and staff files will be reviewed by LPA Medina at the main office and documented on an annual continuation visit.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 809-D. An exit interview was conducted with Program Director and Program Supervisor. A copy of this report and appeal rights were provided via email. A plan of correction was developed with a due date if 08/09/24.

LPA requested the following updated forms to be faxed to CCLD by 08/02/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Client Roster (LIC 9020) and Emergency Disaster Plan (LIC 610D).

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction