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25 | Licensing Program Analysts (LPAs) Mary Rico and Sarina Ramirez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Program Director Therese M. Kragness and Supervisor Frances Felix and was granted entry to the facility. At the time of the visit there was (8) staff, and (25) clients present. The facility is an Adult Day Program (ADP) facility. Licensed capacity is (90) current census (27). LPA was accompanied by Program Director Therese M. Kragness to conduct a general overall inspection, which included, but was not limited to, the following:
Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected six (6) client/staff bathrooms and five (5) activity rooms which had sufficient lighting throughout the facility. Activity rooms were equipped with all materials and supplies for clients at Day Program. Facility is equipped with operating smoke detectors and carbon monoxide alarms.Fire drills have been conducted every six months. Hot temperature tested at 110 degrees. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.
Food Service: At Day Program, clients are responsible to bring their own lunch. Facility has emergency snacks, and emergency water available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Day Program has sufficient care staff coverage for Monday through Friday. All staff members working in the facility have criminal recorded clearance through the department.Record Review: LPA reviewed (7) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for training's, and health screenings.
Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Program Director Therese M. Kragness and Supervisor Frances Felix.
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