Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived to conduct a Required - 1 Year visit, and met with Administrator Lindsey Gregori. There are four(4) clients in care at this facility, all are ambulatory. Administrator Lindsey has an Administrator Certificate, #6017082735, expires 5/27/24.

The clients all attend day program. LPA reviewed four (4) client files. All files were complete.

LPA reviewed three staff files. All staff have criminal record clearance as required. Staff have training as required by regulation. All staff have First Aid certification, and CPR certification.

LPA toured the facility with the Administrator Lindsey. Fire extinguishers, two(2), are tagged and inspected as required. Carbon monoxide detector was working properly as required. All exits doors, and hallways/walkways were unobstructed as required.

Facility has a sufficient supply of food. Facility has a sufficient supply of cleaners/disinfectants. Facility has a sufficient supply of hygiene products, linens, and paper products. The facility has a sufficient supply of personal protective equipment(PPE). The client rooms, hallways, bathrooms, and common areas all had sufficient lighting.

Per LPA's record reviews, facility lacked a required disaster & mass casualty plan. T his will be cited,80023(a) Disaster & Mass Casualty Plan- (a) Each licensee shall have and maintain on file a current, written disaster and mass casualty plan of action, see LIC809D.