Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso arrived unannounced at Careplus, Adult Day Program, on 8/28/23 at approximately 10:50am, to conduct a Required- 1 year inspection. LPA met with Program Director, Agnes Dizon and was granted access into the facility. There are thirty(30) clients attending program services today, 8/28. Administrator Yang arrived a short time later.

Facility is fire cleared for thirty-nine(39) clients, which includes five(5) non-ambulatory. Facility program doesn't administer medications. Clients provide their own snacks and lunches, and the program provides food on special occasions. LPA reviewed a sample of records. Five(5) client files. Five(5) staff files. Ensure all staff are trained in the emergency disaster plan and the facility's infection control plan.

LPA toured the facility with Program Director Agnes. Hot water was checked at 111.5 degrees Fahrenheit. All exits were unobstructed. All smoke alarms, which include carbon monoxide checks, were all working properly during the inspection. All fire extinguishers, six(6), were serviced and tagged as required-expires 11/4/23. The bathrooms were all checked and found to be clean, with a sufficient supply of soap and paper towels, The facility was observed to be clean and orderly during the inspection. There is a refrigerator for clients snacks and lunches to be stored if needed. There is a staff kitchen/break room which was clean and orderly during the inspection. There is an outside patio area for clients to use and for outside activities. Toxins, disinfectants were locked up and secured, inaccessible to clients in care. Facility has sufficient supply of cleaners, sanitizing products, paper products, and personal protective equipment(PPE) supplies.

LPA requested the following documents to be sent to Licensing by 9/28/23.

LIC 400- Affidavit regarding Client Cash Resources

Emergency Disaster Plan (LIC 610D)-review and update as/if needed- submit a copy

Infection Control Plan-update as needed- submit

No deficiencies cited during today's visit. Exit interview conducted with Program Director Agnes Dizon.