Facility Evaluation Report

Licensing Program Analysts (LPA) arrived unannounced to conduct a Required 1 Year inspection and met with Program Director Dominic Ordaz, and Shannon Davis, NCA Day Program's Manager. The inspection is focused on the Infection Control procedures and practices of this facility.

The Infection Control Plan was recently submitted by the facility as required. Facility is operating two sessions a week; One session is Monday and Tuesday and the second session is Thursday and Friday. Approximately, about 24 on-site clients enrolled and the rest are virtual day program participants.

Fire extinguishers (4) are scheduled for service and re-tagging-expires 8/25/22. Per Shannon the fire extinguishers will be serviced soon as required. There are nine vehicle fire extinguishers that are scheduled for service as well.

All staff, clients, and visitors are screened before being allowed to remain in the facility. All screenings, including screening questions and temperatures taken, all information is logged.

The light in this bathroom was not bright but was observed to be a bit dark, giving off a light grey color. Shannon stated the bulbs seemed to be low wattage and agreed they were a bit dark, she will be replacing the bulbs. All other bathrooms checked had bright lights.