Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Assistant Director Seye Razavi and Assistant Director Felise Dulay.

According to the facility’s license, there may be a maximum of seventy five (75) developmentally disabled adults, all of whom may be non-ambulatory. The facility does not feature a secured perimeter or delayed egress doors.

LPA accompanied by Assistant Director Dulay, 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. There are three (3) working bathrooms in the facility. Doors, sinks, and toilets were in working order. LPA observed incontinence supplies for everyday and emergency use. LPA observed areas that are available for privacy such as changing. LPA observed a separate area used for participants for privacy and resting. Hand hygiene supplies and Personal Protective Equipment were present. The facility can provide snacks as needed however, participants usually bring their own snacks and lunch. The facility had sufficient space and equipment to facilitate meetings and client activities including arts, crafts, exercise, computers and community outreach programs.All fire and carbon monoxide detectors are working. Emergency lighting, and facility telephone were all working. First aid kits were complete and readily accessible. Medications were made inaccessible to clients by a locked cabinet. LPA interviewed staff and clients. LPA also reviewed multiple staff and client records/files. LPA observed participants were being treated with dignity by staff, and there were sufficient staff on duty to meet participants needs.

Based on today's inspection there are no deficiencies observed at this time in the areas evaluated. An exit interview was conducted, this report was discussed with Assistant Director Dulay, along with a copy of the Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges receipt and a copy of the report was given.