1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analysts (LPAs) Mary Flores conducted an unannounced annual visit at the facility with focus on infection control. LPA met with Kimberly Yrigoyen - Facility's Director and explained the reason for the visit.
Facility is licensed to served as an Adult Day Program with a capacity of 75 adults in the age range of 18 years and over, of which 60 adults may be ambulatory and 15 adults may be non-ambulatory. Facility's total census is 78 and serves 26 clients in person and 52 clients are been serve virtually. Facility has a lobby/locker/waiting room area, a conference room, 7 offices, an isolation room, a computer room, a media room, kitchen, gym, styling room, art room, staff break room, library, 4 restroom and 2 changing rooms.
LPA conducted a tour of the facility with the director and observed the following:
Facility was observed clean and in good repair. No large bodies of water, obstructions or debris were observed. Restrooms water temperature were tested between 103.7 and 107.1 degrees F which is not within the required 105 - 120 degrees F. Facility has a fire sprinkle system, and 3 fire extinguishers were observed throughout the facility last checked on 8/23/22. Knives and kitchen cleaning supplies are kept under lock in a cabinet to the right of the stove. Facility has a supply room stock with PPE supplies for 30 days. Facility is maintaining infection control recommendations throughout. LPA Flores reviewed 3 client files and 3 staff files. No medication or food were reviewed as facility does not provide medication to clients and clients bring their own lunch which is stored in facility's refrigerator.
No deficiencies were noted during this visit under Title 22 Regulations. A Technical Violation was noted on LIC9102.
Exit interview was conducted with director Kimberly Yrigoyen and a copy of this report and Technical Violation were provided. |