Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an annual Required Inspection and met with Administrator Alfredo Lacuata. Client to staff ratios are typically 1:2 on site. Annual fees are current. There were 53 clients participating on site today with 28 staff providing direct supervision. Day program is open Monday through Friday from 8:00 am to 3:00 pm.

LPA/Administrator toured the facility at approximately 9:30 am, which was found to be clean, in good repair and comfortable temperature at 67 degrees F. The facility consists of a kitchen, 4 bathrooms, 4 activity rooms, an outdoor patio quiet area, and staff offices. Bathrooms contained necessary grab bars, hygiene products and continence care products available for client use. Hot water measured between 113.9 and 112.1 degrees F which is within Title 22 regulations of 105 to 120 degrees F in faucets used by clients. Participants typically bring their own lunches and snacks are provided. All exits were found to be unobstructed and contained working auditory devices and mats. Medication is stored in a locked cabinet located in the kitchen in the medication cart, which was locked at the time of visit. All items that could constitute danger were found to be inaccessible at the time of the visit. Fire extinguishers were observed to be present with an inspection tag date of 11/28/23. Carbon monoxide detectors were tested and found to be working at the time of the visit. Smoke detectors are hard wired and are tested with fire sprinklers quarterly by Major Fire Systems Inc. Last inspection was completed on 9/18/2024. Last Disaster Drill conducted 10/15/2024. Transportation services is provided by R&D. LPA/Administrator inspected the vans used to transport participants, vehicles have current fire extinguishers and 1st aid kits. Facility have two nurses (LVN & RN) who are usually present eight hours a day to oversee medical needs and medication. A spot check of medications and their records were reviewed. Required postings were observed. Continues on LIC809C...