Facility Evaluation Report

On 04/09/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct the required annual inspection. LPA was greeted by Executive Director and Program Manager , stated the purpose of the visit, and was allowed entry into the facility.

LPA toured the facility inside and out. LPA observed 32 out of 32 clients to be present and ambulatory at the facility during the inspection. LPA observed the required hand washing signs in client restrooms. LPA observed the facility to be clean and free from odor. Facility temperature measured at 69 degrees F. Disinfectants and cleaning supplies were observed to be locked in a closet and inaccessible to clients.

Emergency disaster plan and procedures are in place. Doors and passageways were observed to be free from obstruction throughout the program. Fire extinguishers were observed with a service date 11/21/23. Facility has a sprinkler system and Smoke and Carbon Monoxide detector were present in the kitchen. LPA observed a sample of staff and client files with the required form at the time of visit.

LPA requested the following updated forms to be sent to CCLD by 4/19/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Client Roster (LIC 9020), and Emergency Disaster Plan (LIC 610D) No deficiencies cited on today's visit.