Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Program Director, Alexa Navarrete.

During visit, LPA toured the facility with PD to include the activity rooms, kitchen, bathrooms, and office. Clients observed participating in program. Two staff present are fingerprint cleared and associated to the facility. Facility temperature maintained at 74 degrees Fahrenheit. All fire exit routes were free and clear of obstruction. Carbon monoxide detector observed in the kitchen. Fire extinguisher last serviced on 01/15/2024.

Cleaning supplies and sharp objects observed locked and stored in separate areas. The day program does not store and handle any client medications. Bathroom hot water temperature maintained at 120 degrees F. Bathroom supplied with toilet paper, paper towels, soap and grab bars. LPA observed a first aid kit, flash lights and batteries.

4 resident files were reviewed and observed them to be complete. 3 staff files were reviewed. At least one staff present has a first aid certification. 3 staff obtains a food handler certification. 2 out of 3 direct care staff files did not contain documented 8 hours of annual training. The review of records shows that S1 has 3.50 hours of annual training and S2 has 50 minutes of annual training. Emergency drills are conducted quarterly and the last drill was completed in September 2024. Facility has an emergency disaster plan and infection control plan.

A deficiency was cited per California Code of Regulations, Title 22. This report was reviewed with Program Director, Alexa Navarrete and a copy of the report and appeal rights was provided.