Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the annual inspect. LPA met with Director of day programs, Kathlene Parker, and explained the purpose of the visit.

During the visit today, LPA reviewed staff files, client files, and medication.

LPA selected 4 Staff files to review. Staff are fingerprint cleared and associated to the facility. Each of the files consist of the Personnel Record, Health Screening form with TB test result, and current CPR and First Aid certificate. Staff have continuous training throughout the year and are documented. Staff have current CPI training as well.

LPA selected 5 Client files for review. Each client file has the Admission Agreement, Personal Rights form, Consent forms, medical assessment with TB test result, Individual Program Plan from Regional Center, and the day program's semi-annual progress report.

There is currently one client taking medication at the day program. The medication is kept in a locked bag that requires a key to open. Staff properly indicates the date and time in which the medication is given.

Per the director, staff have CPI certification and would only use any type of restraint as a last resort. They have not had to utilize any restraints in the recent months but is aware that if any manual restraint is used, it shall be reported to licensing no later than the next business day.

There are no deficiencies issued today. An exit interview was held and a copy of this report was given to Director Parker.