Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit at the facility using the CARE tool. LPA met with Nancy Acosta ,Office Manager and explained the reason for the visit. Program Administrator Adriana Jovel arrived shortly after who assist with the visit. The facility is licensed as an Adult Day Program to serve 48 ambulatory adults clients. At the time of visit there were 41 clients at the facility.

The day program consists of Administrator office, 8 additional offices, lobby, Conference room, work area, storage area with the lockers for the clients, cleaning supply storage room, kitchen area, 2 bathrooms. (Bathroom 1 for Women and Bathroom 2 for Men) Quiet area room, classroom, and a sitting area. LPA toured the facility with Adriana Jovel and the following was observed: The program site is clean, sanitary and in good repair. All passageways are free from obstruction. Multiply fire extinguishers located in throughout the facility and are fully charged. LPA observed Disinfectants, cleaning solutions unlocked in the supply storage room and accessible to clients. The bathrooms were observed to be clean and operational. The water temperature was tested in the bathrooms. The hot water temperature measured 121.2 and 124.1 degrees F, which is not within the required range of 105 - 120 degrees F. There is no pool or large body of water at the premises. There is shaded area for the clients. There are multiply First Aid kits at the facility. Each staff has one and kept in their office. All of them are fully stocked with all required items including a current manual. The ADP does not provide medication or meals to clients during ADP activities. Clients are able to bring their own food. Also, Day program does provide lunch for clients that chose to purchase lunch. There is a refrigerator where the clients can store their food. Smoke / Carbon Monoxide detectors are centralized and were observed in the facility. Facility is also equipped with a centralized sprinkler system. The last fire drill was completed on 02/27/2025. LPA reviewed 5 client and 5 staff records. 1 out of 5 clients, IPP is older than one year. IPP dated 01/18/2023. Deficiencies were noted on LIC 809D per Title 22 regulations.

Exit interview was conducted with Program Administrator and a copy of this report, LIC 809D, and appeal rights were provided.