Facility Evaluation Report

On 10/28/2025 at 10:05 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Program Manager, Dillon Variz, and explained the purpose of the visit. Day program operates from 9:00 AM to 4:00 PM. There were six (6) staff observed working with the nineteen (19) clients here today.

LPA toured facility with Dillon 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. The hot water temperature in the client bathroom measured 113.6 degrees Fahrenheit. Cleaning supplies are locked and inaccessible to clients. Medications are administered 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 1 (one) van used for client outings. Van maintenance logs were reviewed. Reviewed client and staff files for sampling. Emergency disaster drills are conducted every six (6) months, 10/2025. Fire extinguishers throughout facility were last inspected 10/22/2025. First aid kit was checked.

The following forms to be updated and submitted to CCLD by 11/04/2025:

LIC 308 Designation of Administrative Responsibility

LIC 610D Emergency Disaster Plan - Reviewed

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.