Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conduct a Required Annual Inspection. The day program’s facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator/Program Director Blanca Vasquez. LPA also met with Assistant Program Administrator Edgar Lopez.

According to the facility license, the day program site has a maximum capacity for 210 clients, of whom 150 may be non-ambulatory. Per LPA observation, LIC602 Physician’s Reports, and staff interview: During today’s inspection, there were a total of 113 clients enrolled, of whom 11 were non-ambulatory. The day program did not have endorsements for delayed-egress doors or secured perimeter doors, and neither of these were present.

LPA reviewed multiple client care records and multiple personnel files. LPA interviewed multiple staff and toured the interior and exterior of the facility, inspecting all classrooms and common areas. The day program’s facility was clean, sanitary, and in good repair. Doors, windows, toilets, shower, lighting fixtures, and drinking water dispensers were all working. Pathways were free of obstruction and slip hazards. There was sufficient space to facilitate client learning/activities, meetings, dining, laundry, and visitation.

The facility’s ambient internal temperature was complaint at 74 F. Where tested, hot water temperature at taps accessible to clients were compliant in temperature: Bathroom #1 Sink was 115.2 F, Bathroom #2 Sink was 119.8 F, Bathroom #3 Sink was 119.8 F, Bathroom #4 Sink was 117.1 F, and Bathroom #5 Sink was 105 F. [CONTINUED ON LIC 809-C]