Facility Evaluation Report

Licensing Program Analyst (LPA's) Tena Herrera and Daniel Konishi, conducted an unannounced visit for an Annual Inspection. Upon arrival, LPA met with Patricia Wong (Medical Coordinator at independent living next door) who led LPA's to Day Program, LPA's were introduced to Day Program Manager Janelle Ponce who assisted with todays visit and LPA's explained the purpose for the visit. The facility is licensed to serve 60 Adults (55 Ambulatory and 5 Non-Ambulatory) ages 18 to 59 years old.

This is a single- story facility located in Sierra Madre, Ca. A tour of the facility includes: 2 large activity rooms, a quiet/computer room, 2 client restrooms and a kitchen.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and cleaning/disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers were observed and are fully charged. No bodies of water were observed at the facility. The hot water temperature was tested throughout the facility restrooms and measured within the required range of 105-120 degrees. All storage areas for cleaning solutions, toxins, poisons and hazardous items are stored in a secured/locked storage closet and inaccessible to clients. There is a shaded rest area provided for the clients(due to recent winds canopy is stored away, LPA verified facility does have supplies for an outdoor shaded area). Clients are provided with a non-contaminating water container that is readily available for indoor and outdoor use. The facility appears to be clean safe and sanitary.