Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez an arrived at the Adult Day Program (ADP) unannounced to conduct a required annual visit at 12:15 p.m. The LPA met with Director Judith Flickner and explained the reason for the visit. Upon arrival, there were one (1) consumers and five (5) staff in the building. The program currently operates from 8:00 a.m. to 2:00 p.m.

Record Review : A review of facility files was conducted at 12:30 p.m. The LPA observed documentation of Infection Control, Disaster prevention, and last disaster drill conducted on 10/16/25. The LPA obtained Client Roster, Staff Roster, and Insurance Liability. The LPA reviewed five (5) of twenty-eight (28) Client Files, and five (5) of seventeen (17) staff files. The LPA observed Client 1 (C1) did not have a Physician's Report on file, and staff 1 (S1) did not have a CPR/1st aid on file. Upon observation, Director Judith stated S1 does have their certificate and will submit to LPA, otherwise all resident and staff documents reviewed appeared complete and current.

At 3:15 p.m., the LPA and Administrator toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Cleaning supplies are stored in a locked supply closet. The fire extinguishers were fully charged and last serviced on 12/19/2024.

RESTROOMS : There are four (4) total bathrooms at the facility. One (1) is designated as a shower bathroom. The bathrooms have grab bars and were clean and sanitary. The hot water temperature in one of the restrooms measured at 110.0 degrees Fahrenheit.

Report will continue on LIC 809-C 2nd page.