Facility Evaluation Report

At 8:00am on 06/20/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct annual inspection. LPA met with Administrator Tracy Booker and announced the reason for the visit being the facilities annual inspection.

This Day Program is attached to an Intermediate Care Facility for Developmental Disable (ICFDD) [Casa De Vita] licensed by the California Department of Public Health. There is a single entry point with a lobby where a self screening and check in binder for visitors log-ins' and employees log-ins in the front from the parking lot. In order to access the day program, one must enter the ICFDD walk down two halls from the lobby to access the Day Program. LPA noted that Casa De Vita occupies the majority of the facilities building and is only separated by an open hallway and a floor guard to signify where the Day program facilities begin. The facility has four classrooms on one wing. The main wing has two client restrooms and a changing room. There is a staff room and staff restroom that is locked at all times and accesses with a key, There is a large outside area with ample shade and seating. There is an additional free standing outside classroom with additional bathroom that is accessed from the outside area.

Administrator and LPA conducted a full review of the annual care tools modules with no citations. The Administrator and LPA, conducted a physical tour of the areas of the facility that is licensed as the Day Program. Daily PPE supplies are located in the classroom in the main Day Program area and a closet in the autonomous classroom. There is additional PPE in ample supply located in the ICFDD area of the facility for Day Program use. LPA noted that lunches are placed in the refrigerator in the staff room. LPA noted that no medications are administered through the Day Program, Casa De Vita administers all medication for the Day Program Clients. LPA observed report from Alpha fire indicating that the sprinkler system was pressured tested on 03/01/2024. LPA did not observe any visible hazards or deficiencies during the tour with Administrator. LPA noted no citations, violations were assessed during this annual inspection.

LPA noted that staff and client interviews were conducted 6 of 6 staff and 3 of 20 clients,, however no forms were produced due to computer malfunction.

Exit interview, report read, and report provided.