Facility Evaluation Report

Licensing Program Analysts (LPAs) Wong and Daniel Konishi conducted an unannounced annual inspection at the facility. LPAs met with Nilesh Makwana (Assistant Director) and explained the purpose of the visit. The facility is licensed to serve age range 18-59. 60 ambulatory of which 10 maybe non-ambulatory developmentally disabled clients.

LPAs utilized the Compliance and Regulatory Enforcement (CARE) Tools which contain the following domains: Infection Control, Physical Plant & Environment Safety, Operational Requirements, Staffing, Personnel Reports-Training, Client Rights - Information, Client Records-Incident Report, Food Services, Health Related Services, Incidental Medical Services, Disaster Preparedness, Emergency Intervention.

1. Infection Control: Facility has an updated infection control plan in place. Facility continues to practice the infection control in the facility. Facility also has sufficient PPE supplies in the facility.

2. Physical Plant and Environmental Safety: The facility is located in residential neighborhood area. The facility includes: office area, reception area, four (4) unisex bathrooms, client kitchen, janitor closet, staff lounge, Art and Music Room, Computer room, Media Room, Envolve Room, Staff kitchen, laundry room, Relaxation/Quiet Room, Education Room, Basic Room, Physical Room, Onsite BCBA office, Conference room, Administrative Office and HR room. LPA inspected the four unisex bathrooms, they are clean and sanitary. The hot water temperature tested between 116.7 and 120 which is within the Title 22 regulation. All the chemicals and cleaning supplies are stored and locked in the janitor closet. All the sharp knives and utensils are stored and locked in the client's kitchen drawers. The facility has a quite room for clients to rest if they do not feel good. The passageway and walkway are free of obstruction. LPA inspected the carbon monoxide detectors and smoke detectors in the facility and they are working well. Facility has drinking water available for client to use.