Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the required 1-year annual inspection. LPA met with Assistant Administrator, Triponia "Pony" Tuazon and Administrator, Sandy Zipagan.

The day program is community based and no clients observed on-site.

During visit, LPA toured the day program to include the activity rooms and common bathrooms. All exits routes were free and clear of obstruction. Facility has an approved waiver to have the hot water temperature maintained at over 120 degrees F. Warning signs posted at every sink. Hot water temperature measured at 112 degrees F. Bathroom is shared with other tenants in the building. Facility temperature maintained at 73 degrees F. Fire extinguisher last services on 06/05/2024. Chemicals and disinfectants observed locked. Facility has a lock box for medications. LPA reviewed 3 client records were maintained and complete. LPA reviewed 3 staff files were maintained and complete. Staff files that were reviewed obtains a fingerprint clearance, health screening, TB result, and updated 1st Aid certification. Staff are provided annual training. Facility has an infection control plan. Staff are trained on infection control. Facility has an updated emergency disaster plan. LPA observed flashlights and batteries. Facility has a complete first aid kit. Posters observed to include COVID-19 information and personal rights.

Documents were obtained to include the LIC308, LIC309, LIC500, LIC610D, LIC400, and client roster.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Assistant Administrator, Triponia "Pony" Tuazon and Administrator, Sandy Zipagan and a copy of the report was provided.