Facility Evaluation Report

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Facility Administrator Alina Karapetyn and was granted entry to the facility. The facility is an Adult Day Program (ADP) Facility Licensed capacity is (50) current census (0). LPA was accompanied by Facility Administrator, to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected facility bathrooms, kitchen area, and activity rooms. LPA observed facility to be clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be at 106.9 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, were posted in a common area. Cleaning supplies, toxins, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications will be kept inside well-ness office inaccessible to clients. Overall, the facility is clean, in good repair.

Food Service: Facility currently has a census of zero (0) LPA observed Non-perishable/snacks to be stored.

Care & Supervision: Facility currently has no staff working at the facility.

Record Review: LPA reviewed administrators file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings.

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

An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Alina Karapetyn.