Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Required Inspection. LPA met with Administrator Jennifer Vela. The program serves up to 45 developmentally disabled clients. Client to staff ratios are typically 1:8 on site unless a client's care plan specifies otherwise. There were 26 clients participating on site today, with 4 staff providing direct supervision.

A tour of the facility was conducted which was found to be clean, in good repair and comfortable temperature. The facility consists of a kitchen, 2 bathrooms, 1 great room used for class, arts and crafts and exercise, an outdoor patio, a conference room and a staff office.

Bathrooms contained necessary grab bars, hygiene products and continence care products available for client use. Hot water measured 116.5 degrees F which is within Title 22 regulations of 105 to 120 degrees F in faucets used by clients. Participants typically bring their own lunches and snacks unless there is a party or special occasion. All exits were found to be unobstructed. All items that could constitute danger were found to be inaccessible at the time of the visit. 4 Fire extinguishers were observed to be present with an inspection tag date of 10/19/2023. Smoke detectors were tested and found to be working at the time of the visit. A fire inspection was conducted on 10/03/2023. A Disaster Drill was conducted during the Great Shake-Out on 10/19/2023.