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25 | Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Janelle Harris, Business Office Manager. According to the facility’s license, there may be a maximum of forty-five ambulatory clients.
LPA accompanied by Claudia Miner, Community Relations Director, toured the interior and exterior of the day program facility, which consisted of the recreation room in an RCFE facility. The facility was clean, sanitary, and in good repair. There are multiple hall bathrooms in the facility.
Hand hygiene supplies and Personal Protective Equipment were present. According to interviews, the facility provides snacks as needed. The facility had sufficient space and equipment to facilitate meetings and client activities including arts, crafts, and low impact exercise.
There were no sharp objects or toxic chemicals/poisons accessible to clients. Emergency lighting, and facility telephone were all working. First aid kits were complete and readily accessible in the RCFE medication room.
At the time of inspection, no clients were actively participating in the Adult Day Program. LPA also reviewed multiple staff and one client records/files however client has not been a participant in 2024. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility.
No decencies were cited at the time of visit; however a technical violation was issued.
An exit interview was conducted, this report was discussed with Office Manager Janelle Harris, along with a copy of the Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this for acknowledges receipt and a copy of the report was given to Business Office Manger Harris.
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