Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived unannounced to conduct a Required -1 Year inspection and met with Program Director Dawn Cuellar.

Facility is fire cleared for thirty (30) clients, of which four (4) may be non-ambulatory. Facility has an infection control plan as required. Facility has an emergency disaster plan as required. Last fire drill was completed 10/9/23, which included all staff and clients on-site.

Currently there are seventeen (17) clients in care. All clients go into the community from the day program, and are supervised by day program staff. LPA reviewed six (6) client files. LPA reviewed six (6) staff files. All staff have criminal record clearance as required.

LPA toured the facility with the Director. Hot water was checked at 111. Fahrenheit. Fire extinguishers are tagged and serviced as required-10/6/23. All exits were clear and unobstructed. Facility was clean and orderly. Bathrooms were clean and had paper towels available for use as needed. Facility has arts and crafts supplies for activities.

Per LPA’s file review, staff #5 lacks required TB test & results. This deficiency will be cited, personnel requirements 82065(g)(1) The good physical health of each employee and individual licensee shall be verified by a health screening, including negative test results for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure, see LIC809D.

The following deficiency(s) was cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Appeal Rights provided to the Program Director

Exit interview conducted with the Program Director