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25 | On 07/19/24 at 11 AM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct a required 1 year annual inspection. LPA met with Program Coordinator and explained the purpose of the visit. Day program operates from 8:00 AM - 3:30 PM Monday to Friday.
At 11:10AM, LPA toured the facility with PC including but not limited to two activity rooms, sensory room, relaxation/medication room, kitchen, 4 bathrooms, dining room and office spaces. Participants bring their own lunches and snacks. Day program also provides snacks. Emergency supplies, including water were observed stored in a locked storage room. Cleaning supplies and medications are locked and inaccessible. Comfortable temperature at the facility was maintained at 70 deg F. Restrooms were observed clean and sanitary. The hot water temperature in the bathroom measured 106 degrees Fahrenheit. Incontinent participants are kept clean and dry, and the facility is free of odors. The program has 4 vans used for community outings, pick ups and drop offs. Emergency disaster drills are conducted monthly. Fire extinguishers throughout facility were last inspected 4/11/24. First aid kit was observed complete.
At 12PM, LPA reviewed 5 participant and staff records.
LPA obtained the following documents during visit:
LIC 308 Designation of Administrative Responsibility
LIC 309 Administrative Organization
LIC 610 Emergency Disaster Plan
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. |