Facility Evaluation Report
Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced annual visit at the facility with focus in the infection control domain. LPA Flores met with Armine Kim Area Director and explained the reason for the visit.
The facility is licensed as an Adult Day Program with a capacity to serve 131 clients of which 20 may be non-ambulatory. All clients are monitored by Frank D. Lanterman Regional Centers and the facility maintains a staff: client ration of 1 staff per 3 clients. Facility has a lobby, 3 offices, a conference room, an activity area, a dinning area, a kitchen, 3 client restrooms, a computer room, a video room, an isolation room, and a shaded patio.
LPA Flores conducted a tour of the facility with Armine Kim Area Director and observed the following:
Building, and classrooms, and equipment are in good condition. Cleaning solutions in kitchen are kept in a cabinet to the left of the sink with a child proof lock that was not properly locked during the visit.
Restrooms are in working condition and water temperature was tested in men's restroom at 124 degrees F., in women's restroom at 125 degrees F., and in activity room's restroom at 61.3 degrees F. which is not within the required 105 - 120 degrees F.
Last fire drill was conducted on 10/21/21. LPA Flores reviewed 2 staff/ 2 participants files.
Facility is following COVID guidelines regarding screening visitors/staff/participants, posting of social distancing/hand washing/mask were observed in lobby, restrooms, and throughout the facility, isolation room was observed no covered trash cans were observed in isolation area, PPE supplies were observed for at least 30 days, Per Pasadena Department of Public all staff in direct contact with participants/clients must wear a proper mask and face shield/googles. Per PIN 21-10ASC Staff must be fit for N95 mask.
Deficiencies were provided on LIC 809D and Technical Advisories Notes during this visit.
Exit interview was conducted with Armine Kim Area Director and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction