Facility Evaluation Report

On 10/14/2024, Licensing Program Analysts (LPA) L. Salazar arrived at the facility unannounced to conduct the annual required visit. LPA was greeted by the Program Director (PD, stated the purpose of the visit and was allowed entry into the facility.

LPA toured the facility inside and out. LPA observed the required hand washing signs in client restrooms. An updated Infection Control plan was received prior to LPA's inspection. LPA observed the facility to be clean and free from odor. Facility temperature measured at 78 degrees F. Disinfectants and cleaning supplies were observed to be locked room inaccessible to clients.

Emergency disaster plan and procedures are in place. Last fire drill was conducted in September 2024. Doors and passageways were observed to be free from obstruction throughout the program. Fire extinguishers were observed with a service date of 05/16/24. Doors and passageways were observed to be free from obstruction throughout the program. A sample of files were reviewed and observed to have the required documents. An updated Infection Control plan was received prior to LPA's inspection.

LPA requested the following updated forms to be faxed to CCLD by: 11/01/24: Designation of Facility Responsibility (LIC308), Personnel Report (LIC 500), Client Roster (LIC 9020), and Emergency Disaster Plan (LIC 610D) No deficiencies cited on today's visit.

Exit Interview conducted. A copy of this report was provided. No deficiencies cited on today's visit.