Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Gabriella Brand and explained the reason for the visit.

Facility is licensed to serve 70 adults over the age of 18 of which 10 adults may be non-ambulatory. Facility serves as an Adult Day Program. Facility is located in a commercial building and consist of 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 with Gabriella Brand and observed the following:

Facility is in good repair indoors and doors. Each activity room was observed clean, furnish according to the activity. The break room/kitchen was observed to have a lock cabinet were the sharps are maintain. Cleaning supplies are kept lock in the conference room. A changing room was observed which is also used as an isolation area for clients. A large refrigerator was observed to store clients meals that may need refrigeration. Cooking activity area was observed clean and food preparing items were observed properly stored.

Each bathroom was observed in good repair and water temperature was tested between 104.3 - 108.1 degrees F., which is not within the required 105-120 degrees F.

The facility has a fire sprinkler system that was last checked by the fire department on 8/23/23. No large bodies of water were observed at the facility. Facility does not have an outdoor area. However, facility facilitates outings to the community either walking or in facility's vans which have the pertinent records. Drivers have current driving licenses.

LPA reviewed files for 5 clients and 5 staff. Administrator does not have a total of 30 hours of continuous education. Client #4 IPP is dated 1/27/22 and #5 IPP is dated 5/30/20.LPA interviewed 4 staff and 4 clients. Client #3's physician's report notes a TB test was done but does not show test results.