Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced annual visit at the facility which included the following domains:

Infection Control, Physical Plant and Environmental Safety, Operational Requirements, Staffing, Personnel Records- Training, Client records- Incident Reports, Client rights- Information, Food Service, Health Related Services, Incidental Medical Services, Disaster Preparedness, and Emergency Intervention.

LPA Trueman met with Administrator Imelda Ochoa and explained the reason for the visit.

The facility is an Adult Day Program (ADP) licensed to serve 135 clients, of which 40 may be non-ambulatory, ages 18 and over. The program consists of 1 large single-story building. A tour of the single-story building included: Computer Room, Quiet Room, Socialization Area, LVN Office, Music room, Isolation Room, Art and Math Room, Zoomba Area, Photography Area, Art Room, Makeup and Hair Room and Changing Room.,

LPA toured the facility and the following was observed: There were 68 clients at the facility during the visit. The program site is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked. The restrooms were observed to be clean and have the required grab bars for non-ambulatory clients. The water temperature was tested in 2 restrooms and it measured 115 F. F. The program maintains a comfortable temperature in each room/office. The First Aid kit is kept and it is fully stocked with all required items including a current manual. Food is not prepared at this program and clients are able to bring their own food.

Medication was administered per physician's directions. Medication was reviewed for 5 client's.

Interviews were conducted with 6 client's and 5 staff.

7 staff files and 7 client files were reviewed.

No deficiencies. exit interview conducted.