Facility Evaluation Report

Licensing Program Analyst (LPA) Alyssa Ramirez 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 themselves to, and discussed the purpose of the visit with Instructor/Supervisor Jenny Cambaliza. Director Deonna Sacoco later arrived to meet with LPA.

According to the facility’s license, there may be a maximum of forty (40) developmentally disabled adults ages 18 and above; of which fifteen (15) may be non-ambulatory. During today’s inspection facilities census was thirty-nine (39) clients. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Director Sacoco, 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. Facility does not prepare food on the premises and consumers bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities. The seclusion room has door and lock, assessable by key . Hot water temperature at taps accessible to clients were also compliant.

There were no sharp objects or toxic chemicals/poisons accessible to clients. No pools or bodies of water were observed on the premises. Emergency lighting facility telephone, fire extinguishers and first aid kit were present.

LPA conducted interviews, no concerns reported. LPA reviewed multiple staff and client 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.

No deficiencies were cited during today's annual inspection.

An exit interview was conducted with representative to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.