Facility Evaluation Report

At approximately 8:45 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a Required - 1 Year inspection and met with Troy Richard, Licensee/Director. Facility provides in-person services, Monday through Friday from 9:30 AM - 1:30 PM. The facility is vendored with North Bay Regional Center (NBRC) and all the clients have a service coordinator. Transportation services are coordinated by NBRC.

At approximately 9:15 AM, LPA conducted a walk-through of the facility with Licensee and observed the following: Clients were arriving to the program for the day. LPA was informed that facility maintains mostly a 1:3 staff to client ratio. LPA observed a weekly schedule of activities, events, learning opportunities, and outings planned, these include, arts and crafts, movies, music, cooking, bowling, social time, shopping, library trips, lunch outings, holiday celebrations, and more.

LPA observed unobstructed exits and chemicals and other items which could pose a risk to clients in care stored in locked cabinets and closets. Soap & paper towels were available in facility bathrooms. Water temperatures in all bathrooms tested within the allowable range of 105-120 degrees Fahrenheit per Title XXII regulations. LPA observed the facility's first aid kit, PPE, emergency supplies, non-perishable foods, and water. Fire extinguishers were observed charged and were last serviced 5/2024. Smoke and carbon monoxide detectors were tested and operational. LPA was informed the facility does not manage or store medications or client cash resources.

At approximately 9:50 AM, LPA conducted file review of 5 staff files and 5 client files. 2 of 5 staff files reviewed were observed missing 2 or more of the required documents per regulation, (see LIC809D). 5 of 5 staff files reviewed had proof of current CPR and First Aid training certificates. 5 of 5 client files reviewed had current Needs and Services Plans but all were observed unsigned by either the client or their responsible party.