Facility Evaluation Report

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

Facility is licensed to serve 60 developmentally disabled ambulatory adults as an Adult Day Program, which operates Monday through Friday from 8:00 AM to 2:00 PM. This program is a large commercial building and consists of two floors with a lobby, 5 staff offices, two job development/computer areas, 2 large activity rooms and 2 smaller activity rooms, two kitchens, an elevator, and 4 restrooms.

LPA toured the facility with Karissa Tressa Program Director and observed the following:

Facility is in good repair inside and outside. Each activity area was observed clean with sufficient work and sitting furniture and within a ratio of 1 staff per 3 participants. All other areas were observed clean and free of debris, sharps, or hazardous. Elevator is in good repair. Kitchen areas are clean, cabinets are used to stored items for cooking activities. Refrigerators were observed clean and in good repair. Bathrooms were observed clean and in good repair. Water temperature was tested in each bathrooms' sinks and kitchens' sinks and tested between 110.2 degrees F. - 116.6 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 3/27/24. Outdoor area was observed with shading area and exit passage way was observed with a garden bed and large trash can against the wall, which will be cleared per program director by the end of the week. Smoke/Carbon monoxide detectors were observed throughout. Facility has a fire sprinkler system throughout as well.

LPA reviewed files for 5 participants and 5 staff. Participant #1(P1) takes medication for health condition which was being stored in P1's possession in a lunch bag and no prescription/label was kept for instructions of storage and dosage. A plan was observed for P1's health condition on file. (CONTINUED ON LIC 809C)