Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Assistant Director (AD), Gloria Martinez King.

During visit, LPA toured the facility to include the activity rooms, kitchen, bathrooms, and office. Clients observed slowly arriving to day program. Three staff present are fingerprint cleared and associated to the facility. Facility temperature maintained at 71 degrees Fahrenheit. All fire exit routes were free and clear of obstruction. Dual smoke detector and carbon monoxide detector observed operable n the kitchen. Fire extinguisher last serviced on 03/29/2025. 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 116 degrees F. Bathroom supplied with toilet paper, paper towels, soap and grab bars. LPA observed a first aid kit, flash lights and batteries.

4 client files were reviewed. LPA observed 1 out of 4 client files (C1) was not complete and missing the admission agreement, physician's report, TB result, consent form, appraisal/needs and services plan, and personal rights. This client started to attend day program since July 2025 and attends at least twice a week. The remainder of the client files reviewed were observed complete and up to date. LPA advised to write the appraisal/needs and services plan in ink instead of pencil.