Facility Evaluation Report

Licensing Program Analyst (LPA) Olson arrived at the facility unannounced to conduct a required annual visit at 9:40 a.m. LPA was accompanied by Tri-Counties Regional Center Quality Assurance Specialist (QAS) Miguel Magana. LPA and QAS met with Administrator and explained the reason for the visit. The program currently operates from 9:00 a.m. to 3:00 p.m.

Common Activity Space : The facility is a single-story structure with a conference room, office, relaxing/multipurpose room, three (3) bathrooms, and a large open program area. LPA did not observe any obstructions or hazards. Furniture and equipment was observed to be in good condition. Carbon monoxide and smoke alarm detectors were tested and functioned properly during time of visit. LPA observed fire extinguishers throughout the facility, which were last serviced 11/03/2022.

Activities: Activities are both designed for individuals and as a group. Some clients do day outings.

Food Service : Clients bring their lunch and snacks. The facility has emergency water, food supplies and snacks available for consumers.

Restrooms : Restrooms were clean and sanitary and stocked with soap and paper towels. At 12:30 p.m., water temperature in the kitchen was measured at 121.5 degrees Fahrenheit.

Record Review : Around 9:45 a.m. a review of facility files was initiated. LPA obtained Client Roster and Staff Roster. LPA reviewed five (5) of (16) Client Files. LPA reviewed five (5) of (12) staff files. All staff and client files were complete.

Medications: Medications are centrally stored and locked in a cabinet in the office. Medications are labeled and checked for expiration dates. Medications could use better documentation on the centrally stored medications and destruction record.