Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food review. LPA Mora met with Program Director Angelica Real and explained the reason for the visit.

The facility is an Adult Day Program (ADP) licensed to serve 35 adults ages 18 and over, and approved for two non-ambulatory clients, with restricted health conditions. The program consists of 1 large single-story building. A tour of the single-story building included: reception area, 6 offices, file room, 2 restrooms, kitchen, 2 activity rooms, computer lab, and conference room.

LPA toured the facility with Angelica Real and the following was observed: a total of 10 clients were at the facility during the visit. The staff to client ratio is 1:3. 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 inside a storage room. There are two fire extinguishers and are fully charged. There were multiple smoke alarms throughout the facility. There is a carbon monoxide in the kitchen. The restrooms were observed to be clean and have the required grab bars. The water temperature was tested, and it measured at 109.5 degrees F in both restrooms, which is within the required 105-120 degrees F. The program maintains a comfortable temperature in each room/office. The First Aid kit is kept in the kitchen and it is fully stocked with all required items including a current manual. Facility does not keep or administer medications. Food is not prepared at this program and clients are able to bring their own food. The kitchen area has a refrigerator where the clients can store their food. Sharps are kept locked in a hallway closet. There are lockers for consumers. The last fire/emergency disaster drill was conducted on 02/22/2022 and earthquake drill on 01/25/2022