Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE tool. LPA met Michelle Lam with and explained the reason for the visit.

The facility is licensed as an adult day program to serve a total of 40 ambulatory and 35 non-ambulatory developmentally disabled clients between the ages of 18 to and 59. The facility is located in the back of a church and it consists of: lobby/history room, main hall (activity room), kitchen, 2 bathrooms containing various stalls and sinks, a sensory area, administrative/staff office, nurse office, copy room, participant and staff locker room and a changing room.

LPA toured the facility with Michelle Lam and observed the following:

Facility is in good repair indoor and outdoor. The activity room has different tables and chairs for participants to work in groups. Sufficient staff was observed. Kitchen is not used to prepared meals unless they are having an activity. Refrigerator used to store participants meals was observed clean and with a thermometer reading at 30 degrees. Changing room, and bathrooms were observed clean and in working order. Water temperature was tested in each available sink and tested between 107.0 -111.0 degrees F., which is within the required 105-120 degrees F. Facility has smoke/carbon monoxide detectors in the main hall, nurse office area which were tested and in working condition. Cleaning supplies were locked in a closet near the changing room.

LPA reviewed 5 participant and 5 staff files and interviewed 3 participants and 3 staff.

Emergency disaster plan was reviewed and their last Emergency/Disaster Drill was conducted on 9/20/23. Fire extinguishers were lasted checked on 8/11/23.

No deficiencies were noted during this visit.

Exit interview was conducted with Michelle Lam and a copy of this report was provided.