Facility Evaluation Report

At 9:10 a.m. on 11/16/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out.

The facility was last visited on 11/07/2019 for an annual visit. It is a single story building with activity rooms, music room, theatre room, sensory room, arts and crafts room, occupational therapy room, exercise room, nurse’s office, business offices, common areas, and outdoor areas. It has an approved fire clearance for 60 ambulatory consumers and 30 nonambulatory consumers aged 18 – 62. The facility program changed to a creative arts program with two semesters offered per year.

At the main entrance, staff had a mobile screening station with digital thermometer, visitor log, N95 masks, and hand sanitizer. Handwashing stations were also available. Consumers, staff and LPA were all screened for infectious disease. All staff were observed wearing N95 masks.

Walls, floors, ceilings, and windows were clean and in good repair. At 9:50 a.m. LPA measured the room temperature to be 75 degrees Fahrenheit. LPA observed postings for the facility’s masking and visitation policies at the main entrance. Once inside, LPA observed the facility license, emergency disaster plan, COVID precautions, activity schedules, and facility sketch with emergency evacuation routes clearly labelled. The nurse’s office had a fully-stocked first aid kit. The facility had fire alarms and sprinklers throughout. At 9:55 a.m. LPA observed a fully charged fire extinguisher at the front. It was last inspected on 04/06/2022. All emergency exit paths were free from obstructions. Exit doors were unlocked. Shaded and unshaded seating areas were located outside.

The facility had 3 bathrooms. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, and grab bars near the toilet and shower. At 10:01 a.m. LPA measured the water temperature in the large, private bathroom to be 112.6 degrees Fahrenheit.