Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted the required annual inspection using the CARE tools. Program Director, Kristine Panameno, assisted with the visit. LPA explained the purpose of the visit. The day program is licensed for 60 clients, ages 18-59, of which 18 may be non-ambulatory.

LPA toured the facility and inspected/observed the following:

Infection Control : The facility has sufficient supplies of PPE and utilizing gloves when necessary to assist participants. They are performing proper hand hygiene before and after caring for clients and providing snacks. Staff are cleaning and disinfecting surfaces regularly to keep the facility clean.

Physical Plant & Environmental Safety : The facility consists of a lobby area, ten (10) training/activity rooms {communication room, well-ness center, music studio, recreation, media center, creative studio, computer lab, independent living, home economics/kitchen, boutique}, 10 restrooms, 2 offices, storages rooms, and 3 exits. The facility is clean, sanitary, and LPA observed one torn screen outside. Disinfectants and cleaning solutions are properly stored and locked. The hot water temperature measured between 117.3 – 123.9 degrees F. which is out of range. There is water damage on the wall in the living skills room next to the kitchen area. One sink facet is loose in a restroom.

Operational Requirements : The facility is operating within the approved fire clearance.

Staffing: The staffing is maintained at a 1 staff to 3 participants as specified by the regional center.

Personnel Records - Training : LPA reviewed 4 Staff records and they have the required documentation in their files. The CPR/First aid certificates are current and associated to the facility. Staff are provided with in-service training at least once a month.

Client Records - Incident Reports : LPA reviewed 4 Client files and the files consist of the admission agreement, medical assessment with TB test result, consent forms, and current IPP.

Client Rights - Information: Participants do not utilize any postural supports.

Food Service : Clients bring in lunch from home daily and facility only provide snacks.