Facility Evaluation Report

Licensing Program Analysts (LPA) Alviso arrived to conduct a Required-1 Year visit, on 7/25/23 at approximately 2:18pm, and met with Licensee/Administrator Jane Frye. There are currently five(5) clients in care. All five(5) clients were at day program.

Fire clearance is approved for six (6) ambulatory. Facility has a required Infection Control Plan. Facility has an Emergency Disaster Plan as required. Per record review, last fire drills, fire & evacuation, were held on 6/18/23 and 6/24/23.

LPA reviewed three(3)staff files. All staff had required criminal record clearance. All staff had required annual training. All staff had current first aid, and CPR certification. All staff files were complete. LPA reviewed five client files. All client files were complete.

LPA toured the facility with the Administrator. Hot water ws checked at 106.1F. The facility had a sufficient food supply. The facility had a sufficient supply of hygiene products, cleaners/disinfectants, and paper supplies. All cleaners/disinfectants were locked and inaccessible to clients in care. All medications were locked and inaccessible to clients in care. Fire extinguishers, two(2) were serviced and tagged as required. The smoke alarms, sixteen(16) were all working properly when checked during the inspection; Six(6) of the sixteen(16) smoke alarms are also carbon monoxide detectors, All exits were clear and unobstructed.

LPA requested the following forms be submitted by 8/25/23:

Affidavit Regarding Client Cash Resources

Exit interview conducted with the Administrator.