Facility Evaluation Report

On 11/29/2023, Licensing Program Analyst (LPA) K. Kaur arrived unannounced to conduct an Annual Inspection. LPA was allowed entry by staff. LPA completed a tour of the facility with Program Manager Linda Rosa.

The Day Program facility is clean and maintained at a good temperature. LPA observed adequate seating and lighting throughout the facility. No passageway obstructions. Quiet room observed. No fire hazards were observed inside or outside. Client restrooms were toured, observed to be clean, and operational. Day Program does not dispense medications. Cleaning supplies were observed behind locked door, in the staff bathroom. LPA observed all the different workstations and staff interacting with clients. Fire extinguisher in the Kitchen was last serviced on 8/1/2023 and was fully charged. Last fire drill completed on 10/27/2023. The Fire Department tested the pull-down alarm on 10/24/2023. Carbon Monoxide detector tested and operational. The program does not handle client medications. The clients have access to various activities, reading, working outdoors and writing was observed. The program also provides lunch and has a rotating lunch schedule. The menu was looked at and had balanced meals for lunch. The program also provides snacks. A tour of the kitchen was done, and all food storage and preparation appeared sanitary.

A sample of client files were also reviewed to have updated emergency contact information, TB Tests, and IPP’s. Staff files have current 1st Aid. At 1:23 LPA discovered two staff currently employed and working at the facility that are not associated.

Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22,