Facility Evaluation Report

Licensing Program Analysts (LPAs) Cynthia Chan and Christian Gutierrez conducted the required annual inspection using the CARE tool. LPA met with Program Director, Michael Santos, and explained the reason for the visit. The day program is licensed for 60 clients, ages 18-59, of which 15 may be non-ambulatory.

LPA toured the facility and inspected/observed the following:

Infection Control : The facility has sufficient supplies of PPE and utilizing gloves when necessary to assist clients. They are performing proper hand hygiene before and after caring for clients and providing snacks. Staff are cleaning and disinfecting surfaces regularly to keep the facility clean. Physical Plant & Environmental Safety: The facility consists of 2 main rooms, 3 administrative offices, receptionist room, 6 activity rooms, 4 restrooms, conference room, kitchen, and 2 storage rooms. The facility is clean, sanitary, and in good repair. Disinfectants and cleaning solutions are properly stored and locked. The hot water temperature is measured within the required range of 105 - 120 degrees F. Operational Requirements : The facility is operating within the approved fire clearance. Staffing: The staffing is maintained at a 1 staff to 1 client ratio. Personnel Records - Training: LPAs reviewed 5 Staff records and they have the required documentation in their files. The CPR/First aid certificates are current. Staff receive ProAct training annually. Client Records - Incident Reports : LPAs reviewed 5 Client records and the files consist of the admission agreement, medical assessment with TB test result, consent forms, and current IPP or ISP. Client Rights - Information: There are no clients utilizing any postural supports. Food Service: Clients bring their own lunch and snacks daily. Facility has extra snacks available. Health-Related Services: LPAs reviewed 3 client medications and they are given their medications as prescribed. Incidental Medical Services: The facility does not currently have any participants in attendance with a restricted health condition. Disaster Preparedness: Facility has the updated LIC610D form with emergency contact numbers, shutoff valves, and relocation sites. Emergency Intervention: Staff do not utilize manual restraints at the site.

There are no deficiencies issued. A copy of this report was given to the Program Director.