Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Program Director, Norshay Easter who was informed of the purpose of the visit.

The facility is a one story building with (5) activity rooms, (4) offices, (1) conference room, (1) isolation room and (3) bathrooms. The facility does not have a pool or fire arms. The facility is designated as an adult day program serving adults ages of 18-59 years of age. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following:

Infection Control: LPA observed the hand washing stations in the facility had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a plan on mitigating infectious diseases and training staff on these practices.

Physical Plant: LPA observed the facility physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility does not have an outdoor activity area. LPA observed (1) facility van in parking lot to have a boarded passenger window. Maintenance records were request for the vehicle. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational. The water temperature was checked in all (3) restrooms, hottest temperature recorded was 66.9F. Deficiency was cited and plan of correction was made with administrator.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. The facility does not provide food service to clients. LPA observed where client lunch boxes are stored.