Inspection Reports for
Daybreak Senior Services (ADC)
1351 Valley Drive, Ogden, UT, 84401
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
19.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
144% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
80
60
40
20
0
Occupancy
Latest occupancy rate
61% occupied
Based on a August 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Capacity: 36
Deficiencies: 50
Date: Aug 26, 2025
Visit Reason
The inspection was an announced annual inspection conducted to assess compliance with licensing and regulatory requirements for Daybreak Senior Services.
Findings
The facility was found to have multiple non-compliances across various regulatory areas including licensing procedures, program policies, physical facilities, client records, staffing, training, and adult day care requirements. Technical assistance was provided for medication storage and client rights documentation.
Deficiencies (50)
R380-600-3(1) Until a license or certificate is approved, the provider may not accept fees, enter agreements, or provide client services without approval.
R380-600-3(3) The provider must permit immediate, unrestricted access to unaltered programs, client records, clients consenting to speak, sites, and staff.
R380-600-3(4) The provider may not permit staff or clients to threaten or abuse department representatives.
R380-600-3(15) The licensee must adhere to individualized parameters on licenses to promote client health, safety, and welfare.
R380-600-3(18) Providers must submit applications, fees, and obtain licenses before providing services requiring licensure.
R380-600-3(25) The provider must post the current license or certificate visibly on the premises.
R501-14-3(1) Applicants must complete required background check applications and disclosures for continual monitoring.
R501-14-4(3)(a)(b) The provider must keep current rosters and verify employee information monthly.
R501-14-5(2)(a)(b) Background check applications must be submitted within two weeks of association and applicants supervised until clearance.
R501-14-5(5)(a)(b) Applicants denied background clearance may not have client access unless appeal or approval occurs.
R380-600-6(5) The provider must sign and comply with approved variances and their conditions.
R380-600-7(16) Critical incidents must be reported to OL within one business day and to appropriate authorities within 24 hours.
R501-1-4(2) The licensee must develop and comply with safe practices ensuring client health, safety, and staff awareness.
R501-1-4(3) Any changes to approved policies or curricula must be submitted for office approval before implementation.
R501-1-6(1) The licensee must clearly identify services, contact info, complaint processes, program requirements, and fees.
R501-1-6(2) The licensee must post abuse reporting laws, civil rights notices, ADA notices, agency actions, and code of conduct posters.
R501-1-6(3) The licensee must maintain food handler permits, capacity limits, vehicle licensure, and registrations as required.
R501-1-6(6) Current staff and client lists must be available and opioid overdose kits maintained if serving clients with substance use disorders.
R501-1-8(1) The licensee must maintain building cleanliness, safety, fire drills, emergency phone access, and proper bathroom facilities.
R501-1-8(2) The licensee must accommodate clients with physical disabilities appropriately.
R501-1-8(3) Medication and hazardous items must be stored lawfully and securely with locked storage for unused items.
R501-1-8(4) The licensee must maintain a first aid kit on site.
R501-1-10(2) Meals must not be used as incentives or punishment and must meet nutritional counseling and special needs requirements.
R501-1-10(3) Self-serve kitchen users must be supervised by trained staff with food handler permits or equivalent training.
R501-1-10(4) Consenting adult clients may maintain responsibility for their and their child's dietary needs with written consent.
R501-1-10(5) Staff must be trained on identifying and accommodating special dietary needs and snack allowances during restricted hours.
R501-1-11(1) Client records must include identifying information, emergency contacts, health and safety data, assessments, and consents.
R501-1-12(1) Intake screening must verify eligibility, exclusion criteria, presenting needs, and suicide risk before client acceptance.
R501-1-12(2) Substance use disorder clients who are unresponsive or unable to consent may not be admitted.
R501-1-12(3) Justice-involved clients require criminogenic risk assessments and separation of risk populations.
R501-1-14(2)(a)(b)(c) Client agreements must be signed and maintained, including eligibility, fee agreements, and treatment consents.
R501-1-15(1) Discharge plans must identify reasons, aftercare, services summary, and progress evaluation.
R501-1-15(2) Clinical treatment programs must assign clinical directors and ensure individualized, reviewed, and signed treatment plans.
R501-1-15(4) Direct care staff must have approved background clearance before unsupervised work.
R501-1-15(6) Medical cannabis may not be offered or recommended as treatment for substance use disorder clients.
R501-1-15(7) A medical professional must oversee medication management and staff training.
R501-1-15(8) Staff involved with controlled substances must maintain appropriate licenses and DEA registrations.
R501-1-15(9) Personnel information must be maintained for all staff, contractors, and volunteers.
R501-1-15(10) Personnel records must include qualifications, background clearance, code of conduct, training, grievances, and incident reports.
R501-1-15(11) At least one CPR and First Aid-certified staff member must be present when staff and clients are on site.
R501-1-16(1) Staff must receive pre-service training on program policies, emergency procedures, CPR, client eligibility, and abuse prevention.
R501-1-16(2) Staff must complete annual training on policies, licensing rules, client eligibility, incident reporting, and medication administration.
R501-13-2(1)(b)(c) Adult day care directors must maintain daily attendance records and current physician-signed health assessments.
R501-13-3(1-4) Daily activity plans must meet client needs and be maintained, with posted daily schedules and opportunities for varied activities.
R501-13-4(1-2)(4-5) Staffing ratios must meet client supervision requirements and directors must have specified credentials and training.
R501-13-5(1-2) Direct care staff must be 18 or older and receive orientation and annual training specific to client needs.
R501-13-5(3-7) Facilities must provide adequate indoor space, exclusive client bathrooms, maintain temperature, provide meals/snacks per CACFP, and ensure outdoor recreational space.
R501-13-5(6-7) Facilities must comply with local disability accessibility codes and mitigate hazards through approved safety measures.
Medication storage was found non-compliant with one client having loose OTC medications not in original containers; technical assistance was provided.
Two client charts lacked updated client rights and licensing contact information from the previous year; technical assistance was provided to update records.
Report Facts
Approved Capacity: 36
Number of Non Compliant Items: 32
Inspection Report
Renewal
Census: 22
Capacity: 36
Deficiencies: 8
Date: Aug 27, 2024
Visit Reason
The inspection was an announced renewal licensing inspection of Daybreak Senior Services Adult Day Care facility to assess compliance with licensing rules and regulations.
Findings
The inspection identified 8 noncompliant items related to licensing procedures, program policies, client records, staffing, training, and physical environment. Several deficiencies were corrected during the inspection, including posting required notices and updating client rights forms.
Deficiencies (8)
R380-600-3(1) An applicant or provider may not accept any fee or provide client service until license approval. This was found noncompliant.
R501-1-6(2) The licensee did not have an Americans with Disabilities Act poster posted as required but corrected it during inspection.
R501-1-11(1) The licensee needs to add identified gender to client documents rather than only male/female.
R501-1-12(1) The intake screening form lacks a suicide risk question; the provider plans to create a policy and train staff accordingly.
R501-1-12(4) The provider did not have all client rights afforded under the provider code of conduct, missing rights to be free from discrimination and exploitation; forms were updated on site.
R501-1-12(5) The provider has never done discharge plans and will create and complete them for all clients.
R501-1-16(1) Not all staff received required pre-service training on emergency procedures and incident reporting; provider plans to correct by 9/27/2024.
R501-1-16(2) Provider is missing training on licensing rules including general provisions, adult daycare, and elevated suicide risk level training.
Report Facts
Noncompliant items: 8
Approved Capacity: 36
Present Residents/Clients: 22
Inspection Report
Annual Inspection
Census: 18
Capacity: 36
Deficiencies: 0
Date: Sep 11, 2023
Visit Reason
The inspection was an announced annual inspection of Daybreak Senior Services - ADC to ensure compliance with licensing and regulatory requirements.
Findings
The facility was found to be fully compliant with all inspected regulatory requirements, with zero noncompliant items noted during the visit.
Report Facts
Number of Non Compliant Items: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hailey Feichko | Licensor | Licensor conducting the inspection |
| Morgan Begin | Individual informed of the inspection and signed the checklist |
Viewing
Loading inspection reports...
