Facility Evaluation Report

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

During visit, LPA toured the facility with PD to include the main activity room, classrooms, office space, conference room, storage, dining room, kitchen, bathrooms and exterior. All fire exit routes are free and clear of obstruction. Clients observed participating in activities before departing from program. 9 staff observed on site are fingerprint cleared and associated to the facility. Facility temperature maintained at 72 degrees F. Carbon monoxide detector present in the dining room. Fire extinguisher last serviced on 09/27/2024. Sharp objects observed locked in the kitchen area. Chemicals and disinfectants observed locked in a storage closet. Bathrooms observed with soap, paper towels and toilet paper. Bathroom hot water temperature maintained at 108.3 degrees F. LPA observed an isolation room which is equipped with PPE supplies. Daily calendar to include the participants, staff and activities posted in the hallway. LPA observed a weekly activities calendar. Facility has emergency disaster plan and infection control plan located on site. Emergency drills are being conducted monthly. The facility has only completed fire drills and has plans to conduct earthquake drills. LPA observed emergency supplies to include non-perishable foods. Facility has a first aid kit, flashlights and emergency lighting available. 4 client files were reviewed and observed complete. 4 staff files were reviewed and observed complete. 4 out of 4 staff obtains a first aid certification. Staff are provided at least 8 hours of documented annual training.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Program Director, Alejandrino Espinoza Cruz and a copy of the report was provided.