Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Assistant Director (AD) Cynthia Vasquez.

According to the facility’s license, facility serves forty five (45) ambulatory adults, ages 18 and over. The facility does not feature a secured perimeter or delayed egress doors.

LPA and AD Vasquez, 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. There are three (3) bathrooms in the facility. LPA observed areas that are available for privacy such as changing. 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. First aid kits were complete and readily accessible. LPA also reviewed multiple staff and consumers records/files. Files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. LPA observed participants were being treated with dignity by staff, and there were sufficient staff on duty to meet participant needs.

Based on today's inspection there are no deficiencies observed at this time in the areas evaluated.

An exit interview was conducted with Assistant Director Cynthia Vasquez, to whom a copy of this report was provided. Their signature below confirms receipt of this document.