Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Program Director Aaron Vindel and explained the purpose of the visit. The Adult Day Program is licensed to care for (60) Developmentally Disabled Adults, 40 ambulatory and 20 non ambulatory, age range 18 and over. All clients attending the program receive case management services provided by San Gabriel Pomona Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Staff are adhering to infection control requirements. Infection control practices and Personal Protective Equipment (PPEs) were maintained. Staff use disposable gloves to clean and disinfect the high touched surfaces in the common areas. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan.

Physical Plant/Environment Safety: Facility is located in a business complex. It is a single-story building consisting of a lobby, (3) Administrative offices, (2) Main rooms, (4) Activity Rooms, (2) Relaxation Rooms, Conference Room, Computer Room, Storage/Janitorial supplies room and a Kitchen. Facility has four (4) unisex bathrooms which were observed to be clean and operational . Relaxation rooms may be used as an isolation, rest area or first aid room if needed. LPA observed drinking and bottle refill station in the main room. Sufficient space to accommodate both indoor and outdoor activities was observed. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to clients. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. There are (3) fire extinguishers which were serviced on 06/06/2024. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. A fire clearance is in place. Liability Insurance policy in the amount of $ 1,000,000.00 each occurrence and $3,000,000.00 in the total annual aggregate is valid and expires on 09/04/2024. Last Fire Drill was conducted on 07/08/2024 and Earthquake drill was conducted on 07/15/2024.