Facility Evaluation Report

On 06/27/2022 at 09:40 AM, Licensing Program Analyst (LPA) L. Holmes arrived announced to conduct a continuation to a Pre-licensing Inspection from 05/26/2022. Upon arrival, LPA was greeted by Gabriel Mendoza. Program Director, (PD). The facility is approved for a capacity of 70.

LPA toured facility with PD including, but not limited to the common areas, activity/cohort rooms, bathrooms, conference room, and office. The client’s activity rooms were equipped with the proper furniture and enough space for everyone to social distance. Lighting is sufficient throughout the facility.

-Screening station has thermometer, sanitizer, masks, gloves, COVID-19 signage, sign-in logs and PPE surplus for staff and clients with an isolation cart.

-Bathrooms are equipped with soap, paper towels, covered garbage cans and 20 second handwashing signs. -Complete first-aid kit

-3 Fire extinguishers; fire extinguishers were last serviced on 06/06/2022.

Pre-Licensing is complete with corrections resolved.

LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required.

Exit interview conducted and a copy of this report provided to Program Director, Gabriel Mendoza.