Facility Evaluation Report

On 06/13/2024 at 09:30 AM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to conduct the required comprehensive annual inspection. LPA Brown was greeted by a staff at the reception area, LPA Brown introduced self and stated the purpose of the visit. Assistant Director Amber Ann Arechiga was informed of the visit and met with LPA Melody Brown.

LPA Brown completed a walkthrough of the facility, interview clients and staffs and review of records. The following were observed:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA Brown observed multiple clients attending the Day Program. There are no obstructions to indoor passageway and outdoor passageway of the Day Program. The facility is maintained at a comfortable temperature at 71 degrees Fahrenheit. LPA Brown inspected client classroom; they are equipped with required furniture such as: tables, storage space, chairs, and sufficient lighting. LPA Brown inspected client bathrooms; bathrooms were clean, and appliances were found functional. Hot water temperature tested at 123.8 degrees Fahrenheit. Deficiency will be issued. The facility is equipped with operational combined smoke detectors and carbon monoxide alarms. LPA Brown observed three (3) charged fire extinguishers, and first aid kit with first aid book.

Posters such as the personal rights, CCLD complaint poster, emergency disaster plan were posted in a common area. Sharps and chemicals were kept in secure cabinets inaccessible to clients. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility. Overall, the facility is clean, and operates in safe conditions for clients in care.