Facility Evaluation Report

On 5/13/25 at 1:15 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Asst. Administrator Pamela Temple, and explained the purpose of the visit. Day program operates from 8:00 a.m. to 3:00 p.m. Monday to Friday. There were 12 staff observed working at the program today.

LPA toured facility including but not limited to: activity rooms, kitchen, bathrooms, office space, and the outside recreational area. Clients bring their own lunches and snacks are provided by the program. Emergency supplies, including water were observed. The hot water temperature in the kitchen measured 110.7 degrees Fahrenheit. Cleaning supplies are locked and inaccessible to clients. Medications are not handled/dispensed by this program. There are no bodies of water or fire safety hazards observed. Restrooms are maintained in safe and in sanitary operating condition, and additional equipment for the physically handicapped was observed. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 4 vans used for client outings and transportation. LPA observed 2 that were on the premises were observed to be clean. Van maintenance logs are reviewed daily.

LPA reviewed 5 client and 5 staff files; all were complete. Emergency disaster drills are conducted on a bi-weekly basis at different times by each instructor, most recent drill was conducted on 5/02/25. Fire extinguishers throughout facility were last inspected 02/21/2025. First aid kit was checked and observed to be complete. Emergency Disaster Plan was last reviewed on 2/11/25.

No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.