Facility Evaluation Report

At 10:00am, Licensing Program Analyst (LPA) Shira Stamps, met with Nicholas Williams (Program Coordinator) for an annual visit. Entrance interview conducted.

Physical plant : At 10:05am, LPA and Program Coordinator toured the facility. LPA observed table and chairs to be in adequate repair. LPA observed there to be no obstructions of passageways. Wall and floors were adequate, clean, and in good repair. Equipment and supplies used for day program appear to be in good repair. All trash cans were observed to have lids. The facility maintains a comfortable temperature at 70 F. The last annual fire alarm test was conducted on 2/07/22 by the 5 Alarm Fire Corporation.

The kitchen area: LPA observed the two kitchen areas to be adequately clean. Consumers bring their own snacks.

The bathrooms: LPA observed the bathrooms to be clean and have the wash your hands signs posted. The hot water temperature measured in women’s bathroom at 105 F. Trash cans in all bathrooms have lids to protect consumers from cross contamination.

The First Aid kit was observed. Five fire extinguishers were observed to be full and last serviced on 12/02/21.

The facility does not assist with any consumer medications at this time. LPA observed cleaning supplies and PPE in the locked hallway closet.

Administration: LPA collected the LIC 500 and Consumer Roster. LPA collected the required documents for an Administrator change. LPA will update LIS.

Exit Interview Conducted. Copy of report delivered to Program Coordinator.