Facility Evaluation Report

Licensing Program Analyst (LPAs) Ruth Martinez made an unannounced visit for the purpose of conducting an annual required visit. LPA arrived at facility was greeted at the front desk by staff and granted entry. LPA met with Lisa Crowley, Director of Programs and Shirley Meade, Program Manager, and explained the reason for the visit. Julie Maunders, Executive Director arrived shortly after and met with LPA.

LPA accompanied by staff began the tour of the day program. LPA observe that the facility fire clearance is maintained in conformity with the State Fire Marshall regulatory standards. Fire Extinguishers were last serviced July 05, 2023, and observed to be mounted on the wall throughout the facility. Smoke detectors and sprinkler systems are serviced quarterly, and LPA verified last inspection was completed on June 26, 2023. Fire drills are conducted every two months. The last fire drill conducted was July 21, 2023. There are no pools, bodies of water at this location. Disinfectants cleaning solutions and poisons are inaccessible to clients and stored in locked storage cabinet in kitchen. The day program is maintained in a clean, safe, and sanitary condition. The premises and furnishings are in good repair. There are no food preparation areas at this site. Clients provide their own lunches/snacks and are stored in facility refrigerator. Clients were in a class session at the time of visit and are adequately supervised to meet their needs. The facility handles only medication for client that need their dose while at the program. Medication is stored inaccessible to clients in care. First aid supplies are adequate, and LPA observed first aid kits throughout the facility. Facility has lockers that are used by clients for storage. LPA inspected restrooms and LPA measured the hot water temperature which measured 108.5 Fahrenheit degrees. All restrooms observed to have a supply of soap, toilet paper and towels. LPA began review of records. LPA reviewed clients’ records. All the required documentation was present and current in client’s files reviewed. LPA reviewed employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility representatives and a copy of this report was provided to the facility.