Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced required 1-year visit. LPA met with the Stephen Falla, Program Director and explained the purpose of the visit. The day program is licensed to serve 60 individuals, age range 18 and over, of which 6 may be non-ambulatory. The program's current total census is 45. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

The day program is a single story building consisting of (9) rooms total, which includes (5) activity rooms, (3) administrative rooms, (1) staff office, and (4) male/female restrooms. Facility provides lockers for the consumers. Activities were held indoors and consumers were also taken out to the community in small groups. The program does not supply food, each consumer brings their own lunch, however they provide emergency lunch stored in a locked cabinet. The program does not maintain consumers' cash resources. The smoke and carbon monoxide detectors were interconnected and operable. The activity supplies were observed, walls, floors and ceiling were all in good repair, hallway was free of obstructions, toilets and sink was operational. Hot water temperature was measured within the required range of 105-120 degrees F. Facility is clean and disinfected daily . All medications were locked in the desk drawer and inaccessible to consumers. LPA reviewed the Medication Administration Record (MAR) and did not find any discrepancies. There were (2) fully charged fire extinguishers which were inspected on May 6, 2025. The program has fully stocked first aid kit with tweezers and manual. Personal Rights and Reporting Procedures were posted. Emergency Phone numbers, exit plan and programming schedules were posted. The program has (3) large covered bins of emergency food & water supplies that were kept locked. The building contains central air conditioning and heating. Fire and Earthquake Drills were conducted on a monthly basis. LPA reviewed (4) staff files and (4) consumer files. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, health screening and have training. The consumer files have the admission agreement, physician's report with TB test results, consent forms, and the most current regional center's IPP report. The consumers with helmets have physician's order to wear them.

Per California Code of Regulations, Title 22 and Health & Safety Codes, no deficiencies were observed during today's visit.

An exit interview was conducted and a copy of the report was provided to Stephen Falla, Program Director.