Facility Evaluation Report

11/15/2024, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. Out of the 38 clients, 6 clients can be non-ambulatory. Facility is an adult day care program. LPA met with Program Director, Harold Williams. Licensee, Charles Abate arrived shortly after.

At approximately 1:10pm, LPA and Program Director toured the building and grounds. The facility was found to be at a comfortable temperature. There are thirty-five (35) clients that are enrolled in day program. Today there are twenty-eight (28) clients in attendance.

LPA observed clients participating in activities during the tour. Facility has activities available to clients such as puzzles, games, art supplies, and various other activities. Water temperature in sinks accessible to clients were measured at 119.3 and 118.1 degrees F which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 11/2024. Facility conducts fire drills twice a year with the last one being conducted 11/07/2024. Sharps, toxins, and chemicals were locked and secured in the hallway closet. Backyard was found to be clean with both emergency exit paths being obstruction free. Facility does not handle medications or client cash resources.

Facility conducts training every Thursday and keeps record in a training log.

LPA conducted a review of 4 client records. All records had the required documentation.

LPA conducted review of 4 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. 1 out of 4 staff records had a missing health screening/tb sheet. Upon discussion with licensee, staff got health screening/tb done. Licensee states they will get a copy and put it in their staff file.

No deficiencies cited during today's inspection.