Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced Required Annual inspection at the day program today and met with Administrator Mary Ann Ratto. Entrance interview conducted.

When the LPA arrived there were six (6) participants and two (2) staff present. Beginning at 09:39AM, the LPA, along with Administrator, toured the physical plant areas to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

The fire safety inspection related to the facility's pull system was last conducted on 01/04/2023 and no violations were observed at that time. Carbon Monoxide Detector was tested at 11:38AM and functioned properly.

Kitchen/Food Service: The food service area was observed. The day program serves lunch and snacks to the participants. Menu is posted. Food was observed to be stored, prepared and served in a safe and healthful manner. Knives are stored in a locked drawer. Cleaning supplies are locked in a cabinet under the sink. The fire extinguisher in the kitchen was fully charged and last serviced on 09/04/2023.

Restrooms: There are three unisex restrooms for participant use. Restrooms were observed to be clean and sanitary and in operating condition with grab bars and hygiene supplies. LPA measured the hot water in participant restroom, which measured within the required range.

Common Areas: The facility contains a dining room/activity area, as well as an additional activity area, indoor gardening center and two (2) resting areas for participants if needed. The activity schedule was posted and supplies were observed. The required postings were observed.

Medications: Medication room was observed to contain a lockbox inside a locked cabinet. Medication records are also stored inside the cabinet. First aid kit was observed to be complete. At this time no participants