Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 12:05 p.m. The LPA met with Destiny Nadeau and explained the reason for the visit.

There are sixteen (16) consumers and four (4) program staff present today. The program currently operates from 9:00 a.m. to 3:00 p.m. The day program was staffed with 1:4 staff to consumer ratios. Temperatures of staff and consumers are taken upon entry into the facility.

Common Activity Space : The facility is a two-story structure with activity rooms, a conference room, two (2) bathrooms, offices, and a food service area. The second floor includes administrative offices and conference rooms. The LPA did not observe any obstructions or hazards. Fire extinguishers were charged and serviced 2/2022. Systems are checked bi-annually. Activities: Activities are designed for individual and as a group. The LPA observed staff working with consumers. Food Service : The kitchen area was clean and in good condition. Consumers bring their meals and the facility can provide emergency meals and snacks. Restrooms : Restrooms were clean and sanitary. At 2:40 p.m., water temperature measured at 109 F.

Files : At 2:30 p.m., the LPA checked staff associations and identified that one staff (Staff #1) had fingerprint clearance but was not associated to this location.

Infection Control: There was a central entry point for symptom screening and temperature checks. The LPA was appropriately screened upon entry. Staff and consumers were wearing appropriate face coverings. Infection Control signs were observed on the front door and throughout the facility. Facility has a sufficient supply of PPE. The facility’s cleaning protocol was sufficient. The facility keeps record of staff and consumer vaccinations. The facility's procedures as it pertains to infection control are adequate.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Civil penalties assessed. Exit interview conducted. A copy of the report was issued.