Facility Evaluation Report

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection.

LPA met with and explained the purpose of the visit with Program Director (PD) Megan Williams.

During this visit, LPA toured the Day Program inside and out with PD. Clients were observed in classroom groups throughout the program with assigned instructors providing supervision. LPA observed hand washing signs as well as required items in client restrooms as well as hand sanitizer throughout. Client medication was locked and stored in PD office. Medication procedures and Centrally Stored logs were reviewed. The day program grounds are clean and in good repair. Disinfectants and cleaning supplies were locked and inaccessible to clients. Outside was toured and LPA observed a self-releasing gate. Doors and passageways are unobstructed throughout the program. Fire Extinguishers dated 5/9/23. Smoke and Carbon Monoxide detectors present and in working order. LPA conducted resident and staff file reviews and interviews.

There were no citations issued during this inspection.

An exit interview was conducted and a copy of this report was left with PD, whose signature confirms receipt of this report.

LPA requested the following updated forms faxed to CCLD by 5/26/23 : Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Affidavit Regarding Client/Resident Cash Resources (LIC 400), Surety Bond (Lic402), Emergency Disaster Plan (Lic610D 12/21 version ), Personnel Report (LIC 500).