Facility Evaluation Report

Licensing Program Analysts (LPAs) Mary Flores conducted an unannounced annual visit at the facility using the CARE tool. LPA met with Kimberly Yrigoyen - Facility's Director and explained the reason for the visit.

Facility is licensed to served as an Adult Day Program with a capacity of 75 adults in the age range of 18 years and over, of which 60 adults may be ambulatory and 15 adults may be non-ambulatory. Facility has a lobby/locker/waiting room area, a conference room, 7 offices, an isolation room, a computer room, a media room, kitchen, gym, styling room, art room, staff break room, library, 4 restroom and 2 changing rooms.

LPA Flores conducted a tour with administrator and observed the following:

Facility is in good repair throughout. A fire sprinkler system was observed throughout and was last inspected on 1/23. Kitchen area was observed clean, refrigerator is used to store clients' lunch. No chemicals were observed. Sharps were observed locked in a cabinet. Each restroom (4) is clean and in working condition, water temperature was tested in each restroom between 104.1 - 105.2 degrees F., which is within the required 105-120 degrees F. First Aid kits were observed in three different areas with all the required items. Fire Extinguishers were last review on 8/1/23. Last fire drill was conducted on 5/4/23.

LPA reviewed 5 staff and 5 client files. Individual Program Plan for client #5(C5) was dated: 9/27/16 and is not current.

Deficiency noted on LIC 809D per Title 22 Regulations.

Exit interview was conducted with Administrator and a copy of this report, LIC 809D, and appeal rights were provided.