Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year inspection. LPA Pena was met by the Program Director, Sheri Glendenning and Designated Staff, Maryland Delgado and explained the purpose of today's visit. The facility is a freestanding building, an office type property within the city of Burbank. It is licensed to serve clients age range 18 and over, 30 non-ambulatory. All clients at the program receive case management services provided by Frank D. Lanterman Regional Center. The day program site consists of a lobby area, three (3) activity rooms divided into various work areas such as; Life/Vocational Skills area, entertainment/music room and arts & crafts room, two (2) all-gender restrooms, one of which is also used as a changing/first-aid room, relaxation/meditation room, storage room, break room/kitchen, client storage lockers (18) and staff office.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and the following was inspected:

Infection control practices and Personal Protective Equipment (PPEs) were observed.

There is a visitor sign-in station and PPE supplies located near the front door.

The staff stated that disposable gloves are used to clean and disinfect the high touched surfaces in the common areas.

The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan through the Regional Center.

Staff are adhering to infection control requirements.

The program site has a universal screening area located in the entrance.

There was COVID-19 signage placed at the entrance door.

Smoke detectors/carbon monoxide detectors are in compliance and operational.

The program site has sufficient supply of PPEs such as masks, gloves and hand sanitizers.

There are eighteen (18) lockers available for clients use, located outside the kitchen/break room.

The program site provides media room and computer room for clients' use.

There is a relaxation room for rest periods available to clients and staff. However, LPA observed that the room is not enclosed and no glass on the windows. Director stated that they were removed for safety reasons.

Cleaning supplies and other toxic materials were stored and kept locked in the chemical room.

There is a supply/storage room to house the PPE supplies which was locked and inaccessible to clients.

Hot water temperature was measured in the restrooms and read at 118.0 deg F and 117.3 deg F which was within the required 105-120 degrees F.

There were four (4) fire extinguishers in the facility observed to be fully charged and last serviced on 11/10/2022.

LPA observed sharp objects in a locked cabinet located in one of the staff office.

Doors, exits, hallways, and passageways were clear and free of obstruction.

The front yard/parking area was observed to be clean and free of debris.

No pools or bodies of water were observed in or around the building.

There are no firearms present at the facility.

The program site did not have a video camera monitor system inside or outside the building.