Facility Evaluation Report

Licensing Program Analyst(LPA), Alviso conducted a Required- 1 Year visit, on 7/24/23 at approximately 9:10am, and met with Administrator Shannon Davis. There were eight(8) clients on-site, and all other clients were in the community. LPA observed six(6) staff working on-site during the inspection.

Day program has a fire clearance for forty-five(45)) capacity, of which twenty(20) may be non-ambulatory. Currently there are thirty-two(32) clients that attend day program. Some clients access the community, and others may choose to stay at the day program. The facility has a required infection control plan. The facility has a required emergency disaster plan. Facility does have emergency supplies, including supplies to meet a 72-hour shelter in place; There is a first aid kit with emergency supplies. Fire drills are held monthly, including evacuation of the building. Last fire drill was completed on 6/26/23.

The LPA reviewed five(5) staff files. All staff have criminal record clearance as required. All staff have First Aid and CPR Certification. LPA reviewed staff training. The LPA reviewed five(5) client files. All the client files were found to be complete.

The LPA toured the facility with the Administrator. Hot water was checked at 108.5F, which is within regulation. All exits were unobstructed. All eleven(11) fire extinguishers were serviced and tagged as required. Carbon monoxide detectors, four(4), were checked and working properly during the inspection. LPA observed the facility's supply of personal protective equipment (PPE) for use as needed.