Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Paula Panduro and explained the reason for the visit.

The facility is licensed to as an Adult Day Program to serve 45 developmentally disabled clients ages 18 - 65 years old, of which 10 may be non-ambulatory. The facility is located in a commercial area and consist of the following: a fitness room, common area, a staff room, a relaxation room, an arts and crafts room, a game room, a changing room, female and male locker rooms, music room, a vocational room, an emergency supply room, a supply room, a kitchen, female and male restrooms, communication room, two (2) computer rooms, (3) offices, several storage areas, and outdoor area.

The following CARE tool domains were reviewed during this visit:

Infection Control: Facility maintains an infection control plan last reviewed 2/3/25. Hand sanitizing and infection prevention were observed at the facility. A responsible person was available at the facility.

Physical Plant & Environmental Safety: LPA toured the facility with Paula Panduro and observed the facility is clean and in good repair indoor and outdoor. Each activity room is supplied with furniture and the needed materials for activities. Two (2) restrooms (male/female) were observed in good repair and water temperature was tested between 105.0 and 105.2 degrees F., which is within the required 105-120 degrees F. Smoke/Carbon Monoxide detectors were tested and are in working condition. Fire extinguishers were observed last checked on 7/26/24. Cleaning supplies were observed locked in a hallway cabinet. Sharps were observed locked in kitchen area. Resting area was observed with comfortable furniture. Facility provides drinking water to the clients. Passageways and exit areas were observed free of obstructions. Canopies are provided during outdoor activities to provide shade. No large bodies of water were observed.(CONT.LIC809C