Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to continue a Required Annual Inspection which began on 09-11-2024. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Case Manager Patricia Ochoa-Avila and Program Administrator Susana Levack.

According to the facility’s license, the day program facility has a maximum capacity for one hundred eighty-six (186) clients, of which fifty (50) may be non-ambulatory, but none may be bedridden. Per LPA observation, randomized review of LIC602 Physician’s Reports, and staff interviews: At the commencement of the inspection, there were a total of one hundred thirty-four (134) clients enrolled in the day program in total, of which twenty-seven (27) were non-ambulatory and none were bedridden. The facility’s license does not include endorsements for delayed-egress doors or secured perimeter, and neither of these were present during the inspection.

LPA reviewed records for multiple clients and multiple staff. LPA interviewed multiple clients and staff. LPA, accompanied by Licensee’s staff, also toured the interior and exterior of the facility and inspected all common areas and classrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows, sinks, toilets, and shower were working. Extra hygiene supplies were present. The facility had sufficient space and equipment to facilitate snacks, visitation, meetings, and client activities.

The facility’s ambient internal temperature was complaint at 73 F. Hot water temperature at taps accessible to clients were complaint in temperature: Public Restroom #1 Sink was 112.8 F, Public Restroom #2 Sink was 113.4 F, Public Restroom #3 Sink was 105 F, and Public Restroom #4 Sink was 105 F. Appliances to preserve perishable food were also compliant in temperature: Refrigerators were 40 F, 40 F, 39 F, and 39 F, respectively. Freezers were 0 F and -2 F, respectively. Food that was present was safely stored. [CONTINUED ON LIC 809-C]