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25 | Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection on 11/18/24. LPA arrived unannounced and explained the purpose of the visit to the Program Manager, Stephen Falla. The day program is licensed to serve 60 individuals, of which 6 may be non-ambulatory.
LPA utilized the Compliance and Regulatory Enforcement (CARE) tools to inspect the facility.
The day program is a single story building consisting of 5 activity rooms, 3 administrative rooms, 1 staff office, and 4 restrooms. Activities are held indoors and consumers are also taken into the community in small groups. There are no objects obstructing the walkways. Cleaning supplies are locked in the storage room. The smoke and carbon monoxide detectors are interconnected and operable. Extra snacks are observed and locked in the cabinet. The hot water temperature was measured within the required range of 105-120 degrees F. Facility is clean and disinfected daily.
LPA reviewed files for 4 Staff and 4 Clients. Staff files have the job application, health screening and TB results, background clearance, and on-going training. The client files have the admission agreement, physician's report with TB test results, consent forms, and the most current regional center's IPP report. Clients with helmets have physician's order to wear them.
Medications are centrally stored and only 3 of the clients are taking medication while at the day program. All 3 Clients' medications were reviewed and there were no discrepancies.
The Emergency Disaster Plan is posted with contact numbers and at least 2 relocation sites. Emergency procedures are explained on the disaster plan. Different emergency drills are conducted monthly and documented.
No deficiencies were issued today. An exit interview was held and a copy of this report was given to S. Falla. |