Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:46 a.m., the LPA met with the Administrator and explained the reason for the visit. This annual had a specific emphasis on infection control practices and procedures. The day program currently does not have consumers inside the facility. The day program is operating its normal hours for consumers of 8:00 a.m. to 2:00 p.m. through in person learning and community outings.

At 10:14 a.m., the LPA, along with the Administrator toured the physical plant areas inside to ensure there are no health and safety hazards. COMMON AREAS: The LPA observed the conference/rest area to be relatively clean and properly furnished. The LPA observed the fire extinguishers to be fully charged and last serviced on 11/03/2022. KITCHEN: The LPA observed the kitchen area/ staff room. Cleaning solutions, toxins, chemicals and other hazardous items were inaccessible and locked away in the staff room/ kitchen. At 10:19 a.m., hot water measured at 107.4-degree Fahrenheit. CLASSROOM/OFFICES: The LPA observed offices and the classroom, which were observed to have the required furniture and supplies. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition. At 10:18 a.m., the hot water measured at 111.8-degree Fahrenheit. Signs are posted throughout all four (4) bathrooms to promote handwashing. OUTDOOR SPACE: Passageways and stairs to the lobby were free and clear from obstruction. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The LPA observed a 30-day supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient.

No deficiencies were observed at this time. Exit interview conducted. A copy of the report was provided via email and print.