Facility Evaluation Report

At approximately 2:10PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Program Director, Jennifer Harter. Facility is an Adult Day Program for adults with disabilities and has an approved fire clearance and capacity for 18 Ambulatory clients. Upon arrival, LPA was informed that there were 5 clients attending program and 4 staff members on-site.

At approximately 2:30PM, LPA reviewed the Facility's Staff Roster and found that 1 of 4 staff members was not associated to the facility as required. LPA conducted a walk through of the facility with Program Director. LPA observed the following: Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility has an Infection Control Plan on file. Facility consists of a conference room, a classroom, 2 bathrooms, a kitchen, living room, an office space, and common areas. Clients manage their own monetary funds, medications, transportation, and bring their own snacks and lunches to program.

Hot water temperatures for all sinks in facility were found to be out of compliance with Title 22 regulations, measuring at 104.3F, 104.0F, and 102.0F. During walkthrough, LPA observed the following: Homemade food items in the facility fridge and freezer that were unlabelled, expired foods in the facility cabinet, and two cans of paint located in the facility's second bathroom. Program Director disposed of expired items during visit. LPA discussed with Program Director about labelling food containers in the facility fridge and freezer with the open date and going through the cabinets for expired items.

LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, Plan of Corrections, Appeal Rights discussed and provided to Program Director. Signature on form confirms receipt of documents.