Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection on 1/10/2024. LPA met with Renee Tang explained the purpose of the visit.

Facility is a 48 capacity senior adult activity day program with a current census of 13. The staffing ratio is 8 to 1. The facility has one large area designated for client use and program activities. Tables in the classroom were observed to be socially distanced. LPA also conducted the infection control domain tool. The facility has an approved COVID Mitigation plan in place. LPA and Renee inspected the physical plant including but not limited to the kitchen, bathrooms, large activity room, and outside courtyards. LPA observed two non-working limousines and a generator. LPA observed sufficient furniture and lighting throughout the facility. Hot water temperature was measured at 120 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are current and in compliance with fire safety. No medications are given at programs. LPA reviewed 5 resident and 5 staff files, including criminal record clearances. Fire drill was completed 6/2023. All staff are fingerprint cleared and associated to the facility. First aid kit was checked and is complete.

The facility was given an advisory for using storage space in the back area for two non-working limousines. Please remove by 2/10/2024. Exit interview conducted.