Facility Evaluation Report

On 10/27/2022, Licensing Program Analyst (LPA) Walton conducted an announced pre-licensing inspection. LPA introduced self, disclosed the purpose of the visit and was granted entry to the facility by Program Director (PD), Priscilla Rivera and Regional Director (RD), Jessica Greco. Facility implemented a sign in policy upon entry.

LPA conducted a tour of the facility with RD and PD. There were no violations related to fire clearance observed during today's inspection. LPA observed classrooms to have adequate furnishings and lighting. The facility has 5 classrooms, an art room, a break/culinary room, and a computer/ tech area. The facility is a On-site/Community Day Program, clients will spend 4 hours in the community and 2 hours at the facility. Medications will be stored in a locked box, in secure cabinet in the lobby. Restrooms observed to have functioning toilets and fixtures. Hot water temperature measured at 112.8 degrees F in bathroom 1 and 106.7 degrees F in bathroom 2. LPA observed the facility has a fire sprinkler system, fire extinguisher observed to be fully charged, last serviced on 05/13/2022. Meals will not be prepared on site, clients will bring meals to the program. Facility will have cabinets accessible to clients to store personal belongings. LPA observed signs promoting social distancing and cough/sneeze etiquette. LPA observed the isolation / quiet room. First Aid emergency kit was observed and contained all required items. Facility had an adequate supply of PPE.

Component III was also conducted and completed.

I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.

Exit interview conducted. A copy of this report was discussed and provided to Regional Director, Jessica Greco, whose signature on this form confirms receipt of this document.