Facility Evaluation Report

02/07/2023 12:15 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection. LPA met with Program Manager 1 Sean Green, and explained the purpose of the visit.

LPA Knight and the program manager toured the facility together to ensure the health and safety of clients who attend program. Areas toured include but are not limited to common areas, two (2) bathrooms, kitchen, and storage areas. Staff and client files were reviewed. All employees requiring background checks are cleared.

There is a schedule of recreational activities planned for the clients and clients are given the choice to go out in the community for activities.

The facility was observed to be at a comfortable temperature. Common area was clean and in good repair. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored properly. Fire extinguishers fully charged and inspected. Carbon monoxide detectors are operational. There are no pools/bodies of water are on premises. The facility has been conducting fire drills monthly.

LPA requested the following documents be updated and submitted to LPA to update the facility file: LIC610D Emergency Disaster Plan, LIC500 Personnel Report.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report was provided to Program Manager 1 Sean Green.