Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Michael Tea for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Administrator (AD) Tim Thirtle and discussed the purpose of the inspection.

LPAs reviewed Infection Control requirements. At about 9:00AM, LPAs and AD 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 one day program. Facility has 2 large common areas, multiple small group rooms, multiple storage areas and offices, and 3 bathrooms. There is a side patio with shaded seating for the clients. The program operates between the hours of 8AM and 2PM. LPAs observed 38 staff and 71 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: tested at 109.5 degrees F in the client bathroom. Emergency Phone Numbers and Exit Plan: reviewed. Food Service: this facility provides breakfast and LPAs inspected the food supply for breakfast. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: inspected. Appliances: microwave and refrigerator inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the storage closets. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 10:00AM, LPAs reviewed 6 client files and 5 staff files, interviewed 6 clients and 3 staff, and inspected medications for 4 clients. Facility does not handle client money.

There were no deficiencies observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.