Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Dwayne Mason Jr. for the purpose of conducting a Required – 1 Year Inspection. LPAs met with President & CEO (CEO) Michael Galliano and discussed the purpose of the inspection.

LPAs reviewed Infection Control requirements. At about 12:30PM, LPAs and CEO conducted a tour of the inside and outside of the facility, common areas, group rooms, storage areas, and bathrooms and observed the following: Structure: this is a large commercial facility which houses two day programs. Facility has 3 common areas, 8 group rooms, multiple storage areas, and 5 bathrooms. There is a side patio with shaded seating for the clients. LPAs observed 23 staff and 93 clients present for this program. LPAs observed clients and staff engaging in program activities throughout the facility. LPAs inspected all rooms and areas of the facility. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: the water heater was temporarily disabled. LPAs reviewed water temperature logs. LPAs inspected all rooms in the facility. Emergency Phone Numbers and Exit Plan: reviewed. Food Service: this facility does not provide food service. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: inspected. Appliances: microwave, washer, and dryer inspected. Knives: observed locked in the storage closet. Toxins: observed locked in the storage closets. Medication cabinet: facility does not handle medications. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 1:00PM, LPAs reviewed 6 client files and 6 staff files and interviewed 6 clients and 6 staff. Facility does not handle client medications or money.

During the inspection, LPAs and CEO observed the following: 3 knives and multiple toxins were accessible to clients in the non-lockable drawer and cabinet in the staff breakroom and in the cleaning closet. During the inspection, CEO properly secured these items and LPAs confirmed.

Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.