Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez and Licensing Program Manager (LPM) Tony Vasallo conducted an unannounced required annual inspection using the CARE tools. LPA met with Edward Frutis Program Supervisor and explained the reason for the visit.

This facility is licensed to serve a capacity of (36) Developmentally Disabled Ambulatory Adults, of which (8) may be Non-Ambulatory. Facility consists of 4 offices, 1 college to career office, 1 conference room, 2 staff lounge, 1 client activity room, 1 shared client/child activity room, 1 isolation room, 4 client bathrooms, 1 out of the 4 has client change room, a kitchen, a flex convert client/child room, 3 outdoor spaces.

LPA Gutierrez conducted a tour of the facility, reviewed records, and interviewed 3 staff and 3 clients. The following were observed: A total of 23 clients were at the facility during today’s visit. The program site is clean, safe, and in good repair. Disinfectants, cleaning solutions are inaccessible to clients and are locked away. Kitchen has knives/sharp drawer kept under lock. There are two (2) refrigerators and one (1) freezer both within required temperatures. Client’s lunch and snacks are stored in the facility refrigerator. Four (4) bathrooms were observed in good repair, water temperature was tested and within the required 105–120-degree Facility has a fire alarm system with a carbon monoxide detector throughout the facility. All rooms were observed to be clean and clear of obstructions. Outside shaded patio area was observed and no potential risks were observed

Five (5) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Three (3) client files were reviewed and included physicians report, TB clearance, and individual program plan (IPP)report. Last fire/earthquake drill was conducted in February 2024. Infectious control plan was reviewed. Three (3) staff and (3) clients were interviewed. No deficiencies were observed during this visit per Tile 22.

Exit interview was conducted with Edward Frutis and a copy of this report was provided. Staff was notified annual fees are due.