Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit for the purpose of conducting an annual required visit. At 8:08 AM, LPA arrived at the facility and was greeted and granted entry by Director of Programs (DP) Lisa Crowley and Program Manager (PM) Shirley Meade. LPA explained the nature of the visit. Executive Director (ED) Julie Maunders arrived shortly to assist with the visit.

During the inspection around 8:46 AM LPA reviewed four staff records and six client records. Client files and staff files contained all required documentation.

Around 10:00 AM, LPA accompanied by DP Crowley and PM Meade began the tour of the day program. The day program is split by two different programs Encore and CAVA which each program has their own client workspace/ main common areas, therapy rooms, kitchens and restrooms. There is an office administrative space, with staff break rooms and a garage storage area in the middle of the two programs. LPA observe that the facility fire clearance is maintained by an approved fire code permit by City of Huntington Beach Fire Department issued annually for the 2024 – 2025 year. The fire extinguishers throughout the facility are fully charged and serviced June 3, 2024. Fire alarms and sprinklers are maintained and serviced by a third party company. The facility conducts disaster drills, the most recent one conducted on August 12, 2024, for earthquakes and July 2, 2024 for fires. Toxin substances are inaccessible to clients and stored in a locked cabinet with sharps in the kitchen for Encore program. LPA observes knives and toxic substances locked underneath the sink in the kitchen area for the CAVA program. The day program is maintained in a clean, safe, and sanitary condition. The premises and furnishings are in good repair. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 113.7 F degrees. Clients provide their own lunches and are stored in facility refrigerator. Facility provides snacks, which is adequately stock. Emergency food supplies and water was observed to be stored in the garage storage area. During today’s visit LPA observed clients painting during an art class session at the time of visit.

Continuation of annual inspection on LIC809-C