Facility Evaluation Report

On 4-25-2025 at 10:10am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with Program Manager (PM) Estevan De Leon and explained the purpose of the visit. Program Director (PD) Michael Carroll was made aware of LPAs visit purpose via phone.

LPA inspected the physical plant including but not limited to the client classrooms, kitchen area, changing rooms; bathrooms, other common areas, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an adult day program with a current census of 87. Facility has 5 classrooms and 5 bathrooms for clients use. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place.

Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 69*F. LPA observed the facility to have adequate supplies for activity programs. Resident classrooms were clean and sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 11-2-24. All toxins and other dangerous items including sharp objects were locked and inaccessible to clients in care. Medication storage area was observed to be locked and inaccessible to clients in care. First aid kit was observed to have adequate supplies and accessible to staff.

During this inspection 5 resident files and 5 staffing files were reviewed for regulatory compliance. All files contained required contents including staff training requirements and first aid certifications. All staff noted on LIC 500 contained criminal background clearances. LPA completed 5 resident interviews and 5 staff interviews.