Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez made and unannounced Required Annual inspection on 3/22/2024. LPA met with Program Director Noe Rodriguez and discussed the purpose of today's visit.

This program operates Monday through Friday from 8:00 AM to 4:00 PM and provides services for the developmentally disabled clients. All clients in this program receive case management services provided by San Gabriel Pomona Regional Center. This program has the following: (2) Vocational rooms for skill learning assignments, (1) kitchen, (1) exercise area, (1) computer room, (5) restrooms and (1) office. Storage lockers for both staff and clients observed.

Physical Plant: Outdoor and indoor passageways are free of obstruction. Bathrooms were clean and operational, water temperature in compliance. Smoke/carbon monoxide detectors were tested and operational. Fire extinguisher observed. Required postings observed. Central Air and Heating with temperature comfortable. Emergency supplies observed. Toxins and sharps locked and inaccessible to clients. MEDICATION: Not all clients at this program receive medications while in day program, however, LPA Ramirez observed medications to be locked and inaccessible to clients who bring medication to site. PERSONNEL RECORDS: Five (5) Staff records were reviewed. LPA Ramirez observed First Aid/CPR Certificate, Fingerprint Clearance/ Exemptions, Personnel Record/Job Application, Health Screening, Employee Rights, TB Test, and annual training. CLIENT RECORDS: Client records are maintained at the facility. Admissions Agreement, Medical Assessment, Consent Forms, Appraisal and Needs and Services plan, I.D and Emergency Information, TB Test, Centrally Stored Medication Record, and Personal Rights Form were observed in records. Staff on site meet ratio set by regional center. ACTIVITIES : LPA observed activities for client use as well as sufficient space and accommodations for clients to do activities. Last two fire drills were conducted on 2/29/24 & 01/29/24. LPA Ramirez reviewed current registration cards for three (3) facility vans with current liability insurance. LPA Ramirez observed Infection Control Plan and Emergency disaster plan.

An exit interview was conducted and a copy of today's report was provided and discussed.