Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 11/30/2023. LPA was met by Administrator Brand and explained the purpose of the visit. Facility is licensed to serve 70 adults over the age of 18of which 10 adults may be non-ambulatory. Facility serves an adult day program and currently is still serving clients virtually and in person due to COVID 19. Facility has a lobby, a conference room, exercise room, life skill room, volunteer room, outing room, media room, vocational room, changing room/relaxation room, program director office, administration office, staff break room/kitchen, two (2) female bathrooms and two (2) male bathrooms.

LPA conducted a tour of the facility with the director and observed the following:

Restroom water temperature were measured between 105-120 degrees F. Facility has a fire sprinkler system, and five (5) fire extinguishers were observed throughout the facility. Restrooms were observed to be clean and well maintained. Restrooms contained grab bars near toilets. Clients usually bring their own lunch and snacks. Cleaning supplies are stored in a locked cabinet in facility conference room. The facility has two (2) first aid kits and were observed to be in the program director’s office. Facility walkways were observed to clear of hazards. Outing room was observed to be missing two (2) tiles in the ceiling. Six (6) staff files were reviewed.

One deficiency was observed. Exit interview conducted with Administrator Brand and a copy of this report, 809-D and appeals rights was provided.