Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one year annual inspection today at 9:15 a.m. The last annual conducted at this facility was on 11/22/2022. Upon arrival, there were twelve (12) staff, and fifteen (15) clients present at the day program. The LPA met with Program Director, Laura Wood and the reason for the visit was explained. Entrance interview.

At 9:25 a.m., the LPA along with the Program Director toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted during the plant tour:

The day program operates from 8:00 a.m. to 1:00 p.m. The drivers will start participant pick-ups at 7:30 a.m. and begin drop-offs at 1:30 p.m. The day program is currently staffed appropriately with the necessary staff to consumer ratios. The facility has seven (7) activity rooms, four (4) client bathrooms, a staff room, and a kitchen area.

Common Areas: At 9:28 a.m., the LPA observed the kitchen area to be clean and in good condition during time of visit. The refrigerator was observed with client’s snacks. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. There are several fire extinguishers throughout the facility; they all were fully charged and were last serviced 12/08/2023. Carbon monoxide detectors are wired and operational at the time of the visit.