Facility Evaluation Report

On 03/22/2024, Licensing Program Analyst (LPA) Brian Phillips arrived unannounced for an unscheduled visit to conduct a required Annual site inspection visit at the facility above. When the LPA arrived, they were greeted by Administrator Berenice Jaimes-Leon, Program Manager Kellie Eaton, On Call Staff/Program Coordinator Lauren Johnson, and informed them of the reason for the visit.

The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. This is an Adult Day Program (ADP), with an approved fire clearance capacity of Forty-Five (45) clients. The facility is approved for Fifteen (15) non-ambulatory clients. The physical plant of the facility has multiple entrances. There is a back entrance to the interior of the facility that has a sign to redirect clients and visitors towards the front entrance. The front of the facility has 2 entrances into the interior, one for the Adult Day Program Clients/Visitors and another for Administration/Staff Members. Clients of the Adult Day Program (ADP) are redirected towards the ADP central entry. Both entrances have the same type of screening process and signs/documentation posted. The ADP is the first floor of a two story building, with the 2nd story being strictly Staff member offices/areas and inaccessible to Day Program Clients. The ADP schedule is from 8:15am/8:30am-2:30pm Monday-Friday

FOOD PREPARATION AREA/KITCHEN: The facility is an Adult Day Program (ADP) and has a kitchen for clients of the facility. All food is selected, stored, prepared, and served in a safe and healthful manner. Snacks are available for all clients during the day from 6:30am-3:30pm Monday-Friday unless limited by physician dietary restrictions. Clients in care at the ADP for less than eight hours a day are provided meals and snacks so that no more than three and a half hours elapses between food service. Clients are also permitted to bring their own food to the Day Program. The ADP maintains equipment necessary for preparation of food in the facility and includes a dishwasher. The LPA inspected the food service area and observed that knives/sharp instruments are stored in locked drawers inaccessible to clients. All appliances were in operable condition and looked clean/in good repair. Continued on 809-C