Facility Evaluation Report

On 08/31/2022 at 10:00 AM, Licensing Program Analysts (LPAs) C. Fowler and L. Alexander arrived unannounced to conduct 1-Year Infection Control inspection. LPAs met with Case Manager, Kathleen Womack and explained the purpose of the visit. Day program operates from 7:30AM - 3:30PM. There were 11 staff observed working with the 14 clients here today.

LPAs toured facility with Case Manager including but not limited to, multiple activity rooms, kitchen, bathrooms, office space, and the outside recreational area. Clients bring their own lunches and snacks. Emergency supplies, including water were observed. Cleaning supplies are locked and inaccessible to clients. Medications are handled/dispensed by this program which are locked in a locked cabinet. 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. First aid kit was checked.

The following forms to be updated and submitted to CCL by 09/07/2022:

LIC 308 Designation of Administrative Responsibility

Exit interview conducted and a copy of this report provided.