Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to the facility in order to conduct a required annual inspection. LPA arrived at the facility and was greeted and granted entry by Case Manager Lena Osborne and explained the purpose of the visit. LPA Tea spoke to Administrator (AD) Britten Devereux over the phone about the annual inspection.

At approximately 9:15 AM, LPA toured the facility. The facility maintains a license for an Adult Day Program but has not actively started receiving clients in that capacity. At this time, the facility only receives patients through their Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) licensed through the California Department of Public Health and Department of Health Care Services. LPA observe patients from these programs doing yoga in the common area at the time of the visit. The facility has therapy rooms, staff and therapist office space, a kitchenette, a staff inventory room, common areas, and three client bathrooms. The water temperature in the bathrooms measured between 110.1 and 110.6 degrees Fahrenheit. The fire extinguishers throughout the facility are fully charged. Facility appears to be clean, sanitary and free of odors in all areas inspected. Cleaning supplies and other toxic substances were locked in the staff inventory room.

No client files were reviewed, and interviews were not conducted as there are no clients being currently served. There were no health and safety concerns observed during today's visit.

Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with a facility staff and a copy of this report was provided to the facility.