Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted unannounced annual inspection. LPA met with the Chief Financial Officer (CFO) Amy Scott and explained the reason for the visit. The facility is licensed to serve 58 Ambulatory and 7 Non-Ambulatory developmentally disabled adults ages 18 and above.

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

Infection Control: The facility staff are using appropriate hand hygiene while assisting clients. Staff are cleaning and disinfecting throughout the day. The facility has an Infection Control Plan in place.

Physical Plant and Environmental Safety: The facility is located in an industrial area. There are four (4) activity rooms, one (1) computer room, two (2) storage rooms, five (5) offices, one (1) women's restroom, one (1) men's restroom, two (2) staff restrooms, a staff lounge area and reception area. The water temperature was tested and measured at 105.6 degrees F and 108.6 degrees F, which is within the required 105 - 120 degrees F. There are carbon monoxide detectors and fire alarms that are in compliance and operable. The facility is clean, safe, sanitary and in good repair. Disinfectants and cleaning solutions are centrally stored in locked cabinets and locked storage rooms. Sharps are locked and inaccessible to clients. Fire Extinguishers are fully charged and last inspected on 02/26/2025. The passageway, walkway and patio are free of obstruction. Outdoor patio has a shaded area for activity purposes.

Operational Requirements: Facility maintains an approved fire clearance. Staff are knowledgeable on reporting requirements of abuse.

Staffing: There's sufficient staffing in the facility. The regional center require a 3:1 ratio for clients to staff. The facility always has at least two staff on duty at all times.