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25 | Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPA Mora met with Angelica Real (Director) and explained the reason for the visit. The facility is an Adult Day Program (ADP) licensed to serve 45 ambulatory clients, of which 5 may be non-ambulatory, ages 18 and over.
The program consists of 1 large single-story building. A tour of the single-story building included: reception area, 3 offices, 3 restrooms, isolation area, kitchen, dining area, 2 activity rooms, computer lab, conference room, and storage room. LPA toured the facility with Angelica Real and the following was observed: The program site is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked inside the storage room. There are four fire extinguishers and are fully charged. There were multiple smoke alarms throughout the facility. There is a carbon monoxide in the kitchen. The restrooms were observed to be clean and have the required grab bars for non-ambulatory clients. The water temperature was tested in all 3 restrooms and it measured between 105.2 degrees F and 105.8 degrees F, which is within the required 105-120 degrees F. The program maintains a comfortable temperature in each room/office. The First Aid kit is kept in the kitchen and it is fully stocked with all required items including a current manual. Facility does not keep or administer medications. Food is not prepared at this program and clients are able to bring their own food. The kitchen area has a refrigerator where the clients can store their food. Sharps are kept locked in a office. There are storage bins in the reception area for clients. The last fire/emergency disaster drill was conducted on 02/21/2024 and earthquake drill on 01/16/2024. LPA reviewed 5 client and 5 staff files. The Emergency Disaster Plan and Infection Control Plan were reviewed.
Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided. |