LPA and administrator inspected the physical plant including but not limited to the resident bathrooms, and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a day program with a current census of 9. There is entry door is leading to a common area, with a hallway to the bathrooms and eating area. Chemicals and noted to be locked to residents in care the program has no medications. LPA also conducted the infection control domain tool.

Hot water temperature was measured at 115 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils.

The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point.

LPA observed, fire extinguishers inspected on 10/27/2023 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance containing at least the following: a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, and Antiseptic solution.

LPA reviewed two (2) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required.