Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez, conducted an unannounced visit to the facility for purpose of an annual inspection. LPA met with Patricia Stock - Program Director and explained the purpose of the visit. Last fire drill was 09/27/2022 Emergency plan was posted.

Facility consists of two sides of the building. On the North side, it includes the reception area, 2 small bathrooms and 2 large restrooms. Program Director office, Educational Equipment/Main Room, Pre-Vocational and Health Living Room, LVN office/Treatment room for client to rest, Program Director Assistant office, General Store, Life Skills Room, Client’s lockers, two changing rooms, storage room and kitchen. For the South side, it includes Transportation room, Staff Lockers room, Arts expression room, Changing room, Current Event Room, and a little kitchen. There's also a patio with tables and chairs for clients to use. The passageways and walkways are free of obstruction. All the front, back and side areas are free of hazards.

· COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept

· Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote hand washing, cough/sneeze etiquette, and physical distancing.

· Facility does not have one designated isolation room due to remote services provided. All rooms were inspected.

· Facility was equipped with alcohol based hand sanitizer throughout facility.

· Four (4) centrally stored client medication records were reviewed. Only 4 clients take medication at day program

· Staff responsible for direct care and supervision were observed wearing masks.

· Clients were not observed wearing masks but adhering to public health social distance guidelines.

· Meal are not serveed at facility, client’s bring their lunch. Deficiencies cited, please see 809D for details.

Exit interview conducted with Patricia Stock - Program Director and copy of report provided.