Facility Evaluation Report

On 03/09/26 at 12:25PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced required annual inspection and met with staff (PC, S1). LPA explained the purpose of the visit with staff.

At 12:55PM, LPA toured the facility which is located inside a commercial building. LPA observed facility has two floors. The second floor is designated for office use by staff only complete with 2 offices with a mixed gender bathroom and full kitchen. LPA observed a COVID-19 screening station located at the front entrance for clients, staff and visitors. LPA observed two spacious mixed gender restrooms located in the first and second floors equipped with paper towel holders, proper hand-washing signs and covered trash bins. Adjacent to the first floor restroom is a private (Wellness) hygiene/med room with, a bed, automated hydraulic lift, cabinet and hygiene supplies for clients. Hot water was observed at 114 deg F. LPA observed toxins stored in a locked cabinet in the front area. Common hallway is equipped with water stations for clients. Two first Aid kits were observed complete. Carbon monoxide and smoke detectors were observed operational. Designated sensory room was observed furnished with mood lights, chairs, large pillow, bean bag, music and sensory recreation activities. Emergency disaster plans were observed complete and posted in a bulletin board on the first floor along with clients' personal rights, Complaint poster, Provider information notices. The partial kitchen located on the 2nd floor is equipped with a refrigerator, sink and microwave. LPA observed fire extinguisher fully charged and last inspected on 12/11/25.

Program provides training regarding independent living skills and social skills. Community outings, activities and exercise sessions are also provided. Toxins, medications and sharps observed stored locked. Staff does not handle client's cash resources. PC is the infection control leader and is on site Monday through Friday (40 hours per week).