Facility Evaluation Report

On 05/26/2026 at 1:20 PM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator Kirsten Hammond, Assistant Administrator, Pamela Temple and explained the purpose of the visit. Day program operates from 9:00 a.m. to 3:00 p.m. Monday to Friday. There were 16 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. The room temperature in the common area was measured at 71 Degrees F. Emergency supplies, including water were observed. The hot water temperature in the kitchen measured 117.7 degrees Fahrenheit. Cleaning supplies and sharps 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. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 3 vans used for client outings and transportation. LPA observed 3 that were on the premises were observed to be clean.

Emergency disaster drills are conducted monthly. Last fire drill was conducted on 05/15/2026. Fire extinguishers throughout facility were last inspected on 02/05/2026. First aid kit was checked and observed to be complete. Emergency Disaster Plan was last reviewed on 02/17/2026.

LPA reviewed 5 participant records and 5 staff records, and all were complete.

No deficiencies were cited during this inspection.

Exit interview conducted and a copy of this report provided.