Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar-Ettima and Licensing Program Manager (LPM) Naira Margaryan conducted an unannounced Annual Required – continuation visit to this Adult Day Program. Upon arriving at the facility, LPA and LPM met with Assistant Administrator (AA), Steven "Shay" James and Executive Director (ED), DeWallt Brown and explained the reason for the visit.

At 09:30a.m. LPA, LPM and ED tour the physical plant for compliance with safety, maintenance, and operational requirements. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

During initial annual inspection conducted on 07/19/2024 LPA Alvizar- Ettima conducted a physical plant tour at 11:00am,

The facility has fire clearance for 120 clients of which 20 may be non-ambulatory. The facility is a one (1) story building located in a commercially zoned neighborhood. The Adult day Program is used by the clients for recreation, educational and life skills purposes. It serves clients with developmental disabilities and intellectual disabilities (DD/ID).

There is one entrance being utilized at the facility, there are required posters thought the facility. Smoke detectors were tested and function properly. Facility disaster drills was conducted on 07/12/2024. Smoke alarms are hardwired and interconnected. There is a pull system in place. There is a carbon monoxide detector installed in the facility. There are three (3) fire extinguishers located all over the area, last inspected 03/01/24.

Potentially dangerous items toxic, cleaning agents and tools are locked in the garage at the back parking area inaccessible to clients. Hot water temperature measured between 106.1 - 114.0 degrees Fahrenheit (F) which are within the required range for client comfort and safety.