Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with staff (DSP) Karla Zuniga and Program Director Amanda Prudhomme. The day program is open Monday through Friday 8am to 3pm.

LPA/staff initiated a tour of the facility and observed the following: Facility was a comfortable temperature and passageways were free from obstructions. LPA observed a calendar with different activities for clients in care for current week. Participants were engaged in personalized activities. Clients bring their lunches. The refrigerator designated for client lunches and snacks was clean and dry. Program does not provides transportation. Water temperature was measured between 113.4 and 110.1 degrees F in bathrooms used by clients which are within regulation of 105 to 120 degrees F. Toxins are located in a locked room in the garage. Medications are centrally stored in a locked medication cart. Fire extinguishers were serviced and charged December 2024. Sprinklers and fire alarm system are maintained by the City of Santa Rosa Fire Department and was last served on September 5, 2025. Carbon monoxide detector was tested and functional at time of visit. Most recent disaster drill was conducted 8/7/2025. Annual fees are current. First aid kit was complete. Required posters observed. Medication and medication records were reviewed.

LPA initiated file review at 12:30 pm. Five staff and ten client files were reviewed. Staff records have training hours records and First Aid/CPR training. All client files had medical assessments, needs and services plan updated. Facility has two licensed staff (LVN and RN) and are in the facility when clients are present.

The facility have submitted copies of updates of the following: Designation of Administrative Responsibility (LIC308) and Personnel Report (LIC500).

No deficiencies cited during today's visit. Exit interview conducted with DSP & copy of report was given.