Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to continue a Required Annual Inspection which began on 08-13-2024. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Assistant Director Blanca Vasquez.

According to the facility’s license, the day program facility has a maximum capacity of two hundred ten (210) clients, of which all may be ambulatory or non-ambulatory, but none may be bedridden. Per LPA observation, randomized review of LIC602 Physician’s Reports, and staff interviews: During today’s inspection, there were a total of one hundred fifteen (115) clients enrolled in the day program in total, of which one hundred (100) attend program in person and fifteen (15) attend virtually. None of the enrolled clients are 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 72 F. Appliances to preserve perishable food were also all compliant in temperature: Refrigerator was 40 F, and Freezer was -8 F. Food that was present was safely stored.

Medications were labeled, as required, and stored in locked areas. Confidential records were stored in locked areas. No pools or bodies of water were observed on the premises. There were no fireplaces or open-faced heaters present. [CONTINUED ON LIC 809-C]