Facility Evaluation Report

Horizon Adult Day Program, South San Francisco09/15/2023Licence 419210095

Capacity45
Census34
Date signed09/15/2023 06:30:18 PM
The inspector’s account

On 9/15/23 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Program Supervisor, Alona Poblete. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including all of activity rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. LPA observed clients doing activities such as arts & crafts, watching movies & music therapy. While touring the facility it was observed that the room temperature was at 71 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Client bathrooms were observed to be in good repair equipped with grab bar, changing tables and non-skid floors. Food are brought in by residents prepared from their home facilities. Snacks are provided. Chemicals are in a locked space. No medication in the facility.

Three client records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Facility has a certified administrator on site with complete certification and training requirements. LPA attempted to interview 3 clients. LPA also interviewed 3 staff members.

LPA requested licensee to submit the following and was received in the facility at 9/15/23:

LIC 500 Personnel Report, Lease, Infection Control Plan, LIC 610D.

No deficiencies are cited at this time. Report is reviewed and a copy is provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction