Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 2:00 p.m. The LPA met with Denise Alamillo and explained the reason for the visit. There are fourteen (14) consumers and five (5) program staff present today.

The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

The program currently operates from 9:00 a.m. to 2:30 p.m. The day program is staffed with 1:4 staff to consumer ratios. The consumers are grouped into cohorts; there are approximately 20 participants in person per day to ensure adequate physical distancing and staffing. Temperatures of staff and consumers are taken upon entry into the facility.

Common Activity Space : The facility is a single-story structure with several activity rooms, a conference room, three bathrooms, offices, and a food service area. The LPA did not observe any obstructions or hazards. Activities: Activities are both designed for individual and as a group. The LPA observed staff working with consumers. Food Service : The kitchen area was clean and in good condition. Consumers bring their lunch and snacks. Restrooms : Restrooms were clean and sanitary. The LPA observed appropriate hand washing signs in the restroom. Water temperature measured at 105 degrees F at 2:10 p.m.

Infection Control: There was a central entry point for symptom screening and temperature checks. The LPA was appropriately screened upon entry. Staff and consumers were wearing appropriate face coverings. Infection Control signs were observed on the front door and throughout the facility. Facility has a sufficient supply of PPE but would like additional masks and gloves. The facility’s cleaning protocol was sufficient. There was record of staff and consumer vaccinations. The LPA discussed changes around testing, masking and vaccine requirements. The facility's procedures as it pertains to infection control are adequate.

No deficiencies were cited at this time. Exit interview conducted. A copy of the report was provided.