Facility Evaluation Report

Licensing Program Analyst (LPA) Jey Cardenas conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Cardenas met with Director, Morgan Dye and Program Administrator Shir Dyer. The purpose of today’s visit was discussed. The facility prefers to serve 25 developmentally disabled clients 18, years and above. Facility approved for 15 non-ambulatory and 10 ambulatory clients. LPA was granted access and allowed to enter the facility to conduct inspections. At this time program is operating virtualyl and zero (0) clients were present.

During the tour, LPA observed the facility’s infection control practices. LPA verified that the facility has an approved mitigation plan report. LPA was properly screened for Covid-19 symptoms, temperature was checked. PPE supplies are readily available to staff. observed all staff wear a face covering.

LPA and Director, both toured the grounds of the facility. Facility is located in a single story building, located in a commercial business area. LPA observed that the facility included: a large multipurpose room, 2 restrooms, a changing room, relaxation room, music room, art room, storage room, 2 staff offices, and one (1) Program director office, kitchen, and an indoor/ outdoor activity area. Documents are posted as mandated by Title 22 Regulations. Bathrooms are clean and operational; sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly; grab bars were secure, Comfortable temperature was maintained in the facility.

Smoke and Carbon Monoxide detectors are in compliance. All clients bring their own lunch. Hazardous items are inaccessible to clients, and kept in a storage cabinet. First aid kit is fully stocked with manual. Medications are centrally stored in a locked cabinet in the Program Director office. LPA observed three (3) fully charged fire extinguishers which were inspected June 8, 2021.

LPA toured the kitchen area and observed, kitchen is being remodeled, refrigerator on site with washer/