Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 3/16/2022 at approximately 1:30 PM to conduct a Required - 1 Year inspection. LPA met with Day Respite Program Manager, Jake Larkin. This inspection was focused on the infection control practices and procedures of this day program.

Day program reopened on 2/23/2022 and is open on Mondays/Wednesdays from 10AM-2PM. There are currently 11 attendees. 10 out of 11 clients are vaccinated and boosted, 4 out of 4 staff are vaccinated and boosted. Unvaccinated attendee provides negative test before start of program. Clients and staff are screened and signed in at the start of the program. Clients and staff were observed wearing masks.

LPA observed available surgical masks and hand sanitizer. Program has an available first aid kit. LPA requested CPR/First Aid certificates during inspection. A sprinkler system was observed, as well as a carbon monoxide detector. Program has submitted a mitigation plan to Community Care Licensing.

LPA Requested the following documents during the visit:

LIC 308 Designation of Facility Responsibility

LPA and Program Manager discussed associating all Council of Aging staff to all day program sites. Licensee to submit LIC 9182, LIC 508 and ID to CCL for association.

No deficiencies cited during today's inspection. Exit interview conducted with Jake Larkin.