Facility Evaluation Report

Licensing Program Analyst (LPA) A.Lopez made an announced visit to the facility for the purpose of inspecting the facility for change to non-ambulatory status. LPA Lopez met with applicant Pearl Omiya and explained the purpose for the visit. An application was submitted to CCLD on 04/29/22, for initial license for an Adult Day Program to serve consumers of the age 55 years and over. The requested capacity is for 15 consumers, of which all will be ambulatory only.

Applicant completed the change of AMB/NON-AMB status and clearance from the fire department was granted on 03/08/2023

The facility where the program will be held is a classroom, located in a community center building. It consists of a table seating area for meals/activities, a TV seating area, a computer station, a separate activity room to accommodate activities that require more space, a separate bathroom located inside the main building for consumer use, and a commercial kitchen available for all programs use. LPA observed sufficient seating available inside the classroom for the requested capacity. There is a locked cabinet near the computer station where cleaning supplies/toxins and medications will be centrally stored-inaccessible to persons in care. All required signs were posted near the entrance door, including but not limited to labor laws, complaint procedures, Emergency Disaster Plan, Emergency Exit Plan. LPA observed a fire extinguisher near the TV seating area, in the classroom and in the activity room near the entrance-both had recent inspections and were fully charged. The smoke/carbon monoxide detectors were observed in the classroom and activity room. They were tested and observed to be fully operational the last fire drill was completed in December 2022 for the community center. A first aid kit was observed in the facility with the required items and a first aid manual was available.