Facility Evaluation Report

Licensing Program Analyst(LPA), Christine Yee, conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Martha Shapiro, Program Director. The reason for today's visit was explained.

The facility is a single storey commercial building consisting of 3 large program areas, conference rooms, offices, a dining room, a kitchen, storage areas, staff lounge and 8 single bathrooms with a toilet and a sink. The facility is fire cleared for 60 Non-Ambulatory and 15 Ambulatory clients.

On today's visit, LPA Yee reviewed five(5) client files, seven(7) staff files and reviewed the following four(4) domains: Operational Requirement, Staffing, Clients Rights - Information and Food Service. The following were observed on today's visit:

Per review of the 5 client files, Client #1, Client #2 and Client #3 have attended the facility for more than 30 days and do not have a current Appraisal/Needs and Service Plan in their files.

Per review of the 7 staff files, Staff #5 and Staff #7 did not have evidence of current first aid training maintained in their files.

Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 3

Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was provided.