Facility Evaluation Report

On 3/21/2025, Licensing Program Analysts (LPAs) Janette Romero and Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPAs initially met with Assistant Director (AD), Melissa Duenas who was informed of the purpose of the visit. The facility has a fire clearance for a total capacity of 60 non-ambulatory adults over the age of 18. During the visit, AD Duenas reported there was 48 clients and 16 staff present. LPA was also informed the facility is a licensed vendor of the Inland Regional Center. Program Director (PD), Terry Woodrow arrived during the visit and was also informed of the purpose of the visit.

LPAs toured the facility with AD Duenas and observed the facility is made up of three (3) classrooms designated for arts and crafts, serenity, and computers along with five (5) restrooms, a nurse's office, administrative staff offices, storage closets, and private areas to provide clients' assistance with incontinence needs. LPAs toured the kitchen and observed the kitchen area to be clean. LPAs were informed clients provide their own snacks and lunches to consume during day program hours. Restrooms were clean, had toilet paper, soap, and paper towels readily available. Client medication is secured in a locked cabinet inside the nurse's office. LPAs reviewed random staff and client files. Staff present have a criminal record clearance and are associated with the facility. Client files reviewed had updated Individual Program Plans and signed admission agreements. The facility’s smoke alarm was not tested due to several clients’ hypersensitivity to the alarm sound. As a result, LPA reviewed the facility’s System Record of Inspection and Testing (SRIT) dated 3/17/2025 conducted by SSD Alarm. The SRIT noted the fire alarm system was inspected on 3/17/2025 and found to be functioning properly. LPAs reviewed the facility’s Fire Drill Report noting the facility’s last fire drill was conducted on 3/17/2025. LPA also observed several fire extinguishers charged and mounted throughout the facility that were last serviced on 1/15/2025. During today’s visit, LPAs did not observe any issues or concerns. An exit interview was conducted, and this report was reviewed and provided to PD Woodrow.