Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct an annual inspection and met with Samika Simmons, Administrator, and stated the reason for the inspection. LPA observed (10) staff members present along with (19) clients engaging in activities at the start of the inspection. Some clients require 1:1 supervision. The location is licensed for an adult day program for (45) clients. Most clients are ambulatory.

LPA the Administrator toured the interior and exterior of the facility, including the common activity rooms, a gym, classroom/training area, kitchen, and bathrooms. There were no immediate health, safety, or personal rights violations observed. The facility appeared to be clean and free from odors. There is a locked area for toxins and sharps in the kitchen. Bathrooms were clean and contained soap, paper products. Administrator to install a paper towel holder in one bathroom and post 20- second hand-washing poster by all sinks.

The fire extinguishers were last serviced 10/14/23 and monthly fire drills are conducted with staff and clients. Hot water measured 120*F in the kitchen. Emergency exits (3) were clear and accessible. The First Aid kit was missing scissors. There is sufficient PPE and paper products. Program Policy and Procedures and Personal Rights are posted along with an activity calendar .

LPA reviewed (3) client files. All files were organized and complete. Administrator to request the Regional Center provide current copies of service plans. There are (3) client that takes medication. The medication is locked in common area and documentation is maintained. P&I records were reviewed for (3) clients. Files were organized and funds on hand matched the documentation.

LPA reviewed (7) of (10) staff files. All staff is cleared/associated, has current First Aid/CPR certifications and has completed required annual training. Training is conducted monthly on pre-determined topics per regulation and includes driver’s training. The Administrator will provide documentation that training has been completed for the (30) required hours every 24 months- copy of regulation printed as requested.