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 Jasmin Jimenez and explained the reason for the visit.

The facility is an Adult Day Program (ADP) licensed to accommodate 21 ambulatory clients of which 6 may be non-ambulatory, in the age range of 18 and over. The program consists of 1 large single-story building. A tour of the single-story building included: reception area, conference room, 2 case managers offices, program directors office, 3 staff offices, travel office, leisure room, fitness room, kitchen, computer lab, quiet/relaxation room, locked storage cabinets, 2 storage rooms, janitor closet, copy room, style room, arts and crafts room, 4 restrooms, and a locker area.

LPA toured the facility with Jasmin Jimenez and the following was observed: a total of 9 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 janitor’s closet. There are three fire extinguishers in total, located in the reception area, kitchen and hallway. All 3 fire extinguishers are fully charged. Facility has a wired fire system throughout the facility. The restrooms are well maintained and in good repair. The water temperature was tested, and it measured at 105.3 degrees F, which is within the required 105-120 degrees F. The First Aid kit is kept in one of the case manager’s office room 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. Sharps are kept locked in a kitchen cabinet. Client and staff files were not reviewed in today’s visit. The last fire/emergency disaster drills were conducted on 01/06/2022 and 02/28/2022.