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 Alexis Borrero and explained the reason for the visit. Shoftly after the Operations Director Emyflair Dojillo arrived.

The facility is an Adult Day Program (ADP) licensed to serve 30 ambulatory clients. The program consists of 1 large single-story building. A tour of the single-story building included: reception area, 2 offices, 2 restrooms, kitchen, 2 activity rooms, computer lab, and storage room.

LPA toured the facility with Emyflair Dojillo and the following was observed: a total of 3 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 four fire extinguishers and are fully charged. There were multiple smoke alarms throughout the facility. There is a carbon monoxide near the kitchen. The restrooms were observed to be clean and in good repair. The water temperature was tested and it measured at 110 degrees F in both restrooms, which is within the required 105-120 degrees F. The program maintains a comfortable temperature in each room/office. There are four First Aid kit 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. There are lockers for clients. The last fire/emergency disaster drill was conducted on 05/02/2022 and earthquake drill on 02/04/2022

LPA reviewed 3 consumer files to confirm emergency contact is updated and consumers have health screenings on file. LPA reviewed 3 staff records to confirm health screenings, training and fingerprint clearance.