Facility Evaluation Report

Licensing Program Analysts (LPAs) Elizabeth Irra and Tena Herrera conducted a visit for a capacity increase. This program is currently licensed with a capacity of 24 (building 8) and is seeking for an additional 34 individuals (building 5) for a total capacity of (58) between both buildings. The Fire Inspector approved the total for the capacity of 58 non-ambulatory clients between building 5 and building 8. LPA met with Stephanie Kaplan (Executive Director of Transition Program and Rehab Services), Linda Leyva (Director of Licensure and Accreditation) and Rachel Tran (Clinical Director).

This program operates Monday through Friday 9AM to 3PM. This building (building 5) consists of a main activity room (also used as a lunch room), small therapy gym, private treatment room, conference/classroom, staff offices, (5) client bathrooms (4 multi stall bathrooms and 1 individual) and (2) staff bathrooms.

COVID signage posted throughout the building.

PPE supplies stored. Additional PPE supplies available at the hospital (same campus).

Emergency Disaster plan is posted (LIC 610D). Emergency Disaster plan is readily available.

Facility had comfortable room temperature.

Facility telephone available for client use.

Bathrooms: water temperatures: bathrooms #114 and #115 measured at 113.9* and bathrooms #108, #109 and #110 measured at 114.0*. Hand washing signs and paper towels observed inside all bathrooms. Signal systems tested and operable. Grab bars observed.

Refer to LIC 809C for the continuation of this report.