Facility Evaluation Report

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Executive Director Uginea Parra and Director of Day Program Jennifer Valencia.

According to the facility’s license, facility may serve seventy-two (72) developmentally disabled adults, ten (10) of whom may be non-ambulatory. During today’s inspection, there were thirty-seven (37) clients present at the day program site, all of whom were ambulatory. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Director Valencia, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. Hand hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature was comfortable and compliant, at 72 F. Hot water temperature at taps accessible to clients were also compliant: Pantry sinks (2) were 117.6 F, Women’s and Men's Public Restroom Sinks (4 total) were 118.5 F.

Seven (7) clients get medication while at the day program site (both prescription and PRN). Per Executive Director Parra, the facility has a Registered Nurse consultant to to train staff/assist on medication administration. The medications were properly labeled and stored in a locked cabinet. LPA inspected the medication cabinet and reviewed the medication log. Director Valencia explained the coordination of the medications with each client's homes, particularly documentation.