Facility Evaluation Report

Community Assistance Program for Seniors, Pasadena05/11/2023Licence 197603374

Capacity26
Census14
Date signed05/11/2023 03:01:58 PM
The inspector’s account

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced annual inspection visit using the CARE inspection tool. LPA Flores met with Elizabeth Nadeau Administrator and explained the reason for the visit.

The facility is licensed as an Adult Day Care for Adults/Elderly ages of 55 and over for a capacity of 26 consumers. The facility has an approved fire clearance for 26 Non-Ambulatory clients. Facility is located in 1 large commercial building - the licensed program consist of an office, 1 storage room, 1 bathroom with multiple stalls, and a large program room which includes a kitchen area.

LPA Flores conducted a tour of the facility with Elizabeth Nadeau Administrator and observed the following:

Facility's classroom is clean and in good repair. Smoke/Carbon monoxide detectors were tested and in working condition. Cleaning supplies and sharps were observed locked in cabinets in kitchenette area. A refrigerator was observed for snacks. Meals are delivered to the day program. Activities were observed. First aid kit, and emergency supplies were observed. Bathroom was observed in working condition with grab bars and water temperature was tested at 124.5 degrees F., which is not within the required 105-120 degrees F. Facility does not assist with medication. LPA interviewed 3 staff and 3 clients.

LPA reviewed 5 client files and 5 staff files, and emergency disaster plan. Facility's last fire drill was conducted on 5/5/23. Fire extinguisher was last checked on 9/12/22.

Deficiencies were noted on LIC 809D per Title 22 Regulations.

Exit interview was conducted with Elizabeth Nadeau Administrator and a copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction