Facility Evaluation Report

Licensing Program Analysts (LPAs) Salia Walker and Elsie Campos conducted an unannounced Required 1 Year inspection. This annual had a specific emphasis on infection control practices and procedures. The LPAs met with Day Program Manager April Amado at 9:57 a.m., and explained the reason for the visit. There are currently 2 clients attending the program.

The LPAs conducted a physical plant tour with April Amado at 10:02 a.m., to ensure there are no health and safety hazards. The facility consists of multiple rooms with activities for the clients to participate in. These rooms include a sensory room, computer lab, kitchen/breakroom area, juice room, fitness room, music room/ game room, arts and craft area, volunteer/ community area, and a rest area. The rest area/ resting room is also being used as an isolation room in the event of COVID-19 exposure in the facility.

Disinfectants and cleaning supplies are stored in the facility’s storage room. First aid supplies had required items. The facility has five (5) client restrooms, one (1) of which includes a shower. Between 10:05 a.m. and 10:22 a.m., hot water temperatures measured between 105.4 and 114.3 degrees Fahrenheit in the facility bathroom(s), and kitchen. The restrooms were observed to be clean, sanitary and in operating condition with hand soap, and toilet paper. The food service area was observed. At 10:06 a.m., the LPAs observed the facility’s kitchen trash bin cabinet door off the hinges. The Day Program Manager stated the repairs will be made to the cabinet door as soon as possible. The clients bring their own lunch, and snacks to the program. Medications are stored in a locked cabinet in the LVN's office.

The Day Program Manager advised the LPAs that facility landlord has all information of when the fire alarm system and pull stations were last serviced; date unknown at this time. The LPAs observed two (2) fire extinguishers last serviced on July 1, 2020. The Day Program Manager stated the facility’s Director was advised, and the facility will be contacting LAFD for a service request. The carbon monoxide detector was tested at 11:11 a.m., and was operational.