Facility Evaluation Report

Licensing Program Analysts (LPA) Alviso conducted a Required - 1 Year inspection, on 1/24/24 at approximately 9:35am, and met with Administrator Glenn Vargas. Today there were nineteen (19) staff working at the program, including the Administrator.

Currently the facility is operating with 37 clients on-site;The Program operates on-site Monday through Friday, 9am to 3pm. Facility has a fire clearance approval by the Rohnert Park Fire Department for a total of 50 ambulatory, and 10 non-ambulatory. The facility has a required infection control plan. The facility has a required emergency disaster plan. The facility's last emergency drill was completed on 12/29/23, per review of records. LPA reviewed ten (10) staff files. All staff had first aid and cpr certification. All staff had training as required.LPA reviewed ten (10) resident files. All resident files were complete.

The facility has a lot of activities for the clients, a computer room, exercise room, a movie room, art room, and music room. The program has a large open area with tables, tv, couch, kitchen area, and activities going on. The program has a laundry room that is kept locked and inaccessible to clients in care. Cleaners and disinfectants are locked up and inaccessible to clients in care. All bathrooms, four (4), were observed to be clean and orderly. All walkways and exits were unobstructed and clear. Fire extinguishers, three (3), were serviced and tagged. Carbon monoxide detector was working properly during the inspection. The facility has a refrigerator to hold drinks/water, and client lunches and snacks. The stove knobs have covers that make them inaccessible to clients in care.

Licensee to submit the following annual forms by 2/24/2024:

LIC610D- Emergency Disaster Plan-updated & reviewed as needed. submit copy if changes, submit last page signed and dated if no changes.

LIC400-Affidavit Regarding Client Cash Resources

LIC402-Surety Bond (if handling client cash)

Infection Control Plan-updated & reviewed as needed-submit copy if changes, submit last page signed and dated if no changes.

Exit interview conducted with Administrator Glenn Vargas.