Facility Evaluation Report

On 7/12/2024 at 9:26 AM., Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator Adrienne Philips Program Director and explained the purpose of the visit. Day program operates from 7:00 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 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 115.5 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 14 vans used for client outings and transportation. Emergency disaster drills are conducted on a bi-weekly basis at different times by each instructor. Fire extinguishers throughout facility were last inspected 01/09/2024. First aid kit was checked and observed to be complete.

LPA reviewed 5 clients 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.