Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual inspection visit at the facility using the CARE tool. LPA met with Karissa Tressa Administrator and explained the reason of the visit.

Adult Day Program operates Monday through Friday from 8:00 AM to 2:00 PM and is licensed to served 60 developmentally disabled ambulatory adults. This program is a large building consisted of two floors. Facility has 5 staff offices, two job development/computer areas, 2 large rooms and 2 smaller rooms, two kitchens, and 4 restrooms.

LPA and administrator toured the facility and observed the following:

Facility has a fire sprinkle system and smoke detectors throughout the building. Outdoor and indoor spaces are in good repair. Both kitchens are free of hazardous. Sharps are kept lock in the office. Rooms are clean and provide group seating space for clients and staff. All restrooms were observed in working condition and clean. Water temperature was tested in each restroom's sink and tested between 110.1-116.7 degrees F., which is within the required 105-120 degrees F. First Aid kits were observed in each floor and Blood bourne pathogen/bodily fluid kits were observed throughout. Fire Extinguishers were observed and last checked on 4/28/23. Outdoor garden was observed with shaded seating area and passage is clear of obstructions.

LPA reviewed 6 client files and 5 staff files. 5 out of 6 clients (C2-C6) had an Individual Plan (IPP) older than 1 year. C2 IPP date: 9/3/2020, C3 Next IPP 7/31/23, C4 Trinnial IPP date review: 6/27/2017, C5 Next IPP Date: 9/30/22, C6 Next IPP: 1/31/2022. Emergency Disaster Plan was reviewed last checked on 4/27/23. Last Fire Drill was conducted on 7/10/23. Interviews were conducted with 4 clients and 4 staff.

Deficiency noted on LIC 809D per Title 22 Regulations.

Exit interview was conducted with Karissa Tressa and a copy of this report, LIC 809D, and appeal rights were provided.