Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Assistant Administrator Brian Nelson and Administrator Laura Vargas. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Assistant Administrator.

A tour of the facility was conducted with the Assistant Administrator. The facility was free of passageway obstructions inside and outside.

LPA toured the facility. Hot water temperature was measured at 114.3 F. Facility was clean.

Kitchen was toured. Knives were locked in a kitchen drawer. Cleaning supplies were in a locked in a cabinet under the kitchen sink. Medications are not administered at day program. Smoke detectors and carbon monoxide detectors were checked. Fire extinguishers were charged and had service dates of 8/08/25. Fire drill was last completed on 09/08/25.

Staff and client records were reviewed. Records were found to be complete. Current first aid and CPR were on file for staff.

An exit interview was conducted with the Administrator and copy of this report was provided.