Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced required annual today. The last annual conducted at this location was on 06/27/2023. Upon arrival LPA met with the Administrator, Ernest Federer and explained the reason for the visit. Entrance interview conducted.

At 9:23 a.m. the LPA along with the Administrator toured the physical plant areas to ensure that there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. There are twenty-two (22) staff and twenty-five (25) clients present at the day program today.

The day program operates from 9:00 a.m. to 2:00 p.m. The day program is currently staffed appropriately with the necessary staff to client ratios. The day program consist of two (2) floors with seventeen (17) activity rooms.

The facility has one kitchenette for staff use. Refrigerator contains staff's lunch, snacks, and drinks. Clients are required to provide their own lunch. Activity rooms and office furniture were observed to be in good condition at the time of the visit. LPA observed hazardous/dangerous items secured in locked cabinets. Cleaning supplies were also observed locked and inaccessible at the time of the visit. The smoke detectors and carbon monoxide detector were tested and operational at the time of the visit. LPA observed the required postings throughout the facility. Fire extinguishers were observed to be fully charged and last serviced on 07/15/2023. Facility temperature is kept at a comfortable temperature. No bodies of water noted at the time of the visit. Activities are both designed for both as individuals and as a group. The LPA observed staff interacting with clients during time of visit. No obstructions or hazards were observed inside or out. Continued on LIC 809C...