Facility Evaluation Report

On 8/17/2023 at 11:20 a.m. Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct an annual inspection. LPA was greeted by Program Director (PD) Christine Lawrence. PD greeted LPA and allowed entry into the facility. LPA explained the reason for the visit.

Tour was conducted with PD and 1 case manager. Facility was clean, free from clutter, and odor free. LPA toured the facility inside and out. Facility currently serves 44 clients, there are 5 rooms for activities, and 5 bathrooms. LPA observed all bathrooms to be clean, odor free, and with proper hygiene products. LPA observed all listed emergency exits to be clear and free from obstruction, fire extinguishers were last serviced 12/13/22 and are in good standing. LPA tested the water temperature in 1 of the client’s bathrooms which read at 107.2 degrees F.

LPA observed staff and clients interacting with one another. During the tour of the kitchen staff case manager explained clients bring their own food but some food is kept at the facility in case clients forget to bring a lunch.

LPA observed knives, sharps, cleaning supplies, and all necessary items to be locked and inaccessible to clients.

Sample of client and staff files were reviewed and current.

Exit interview was conducted and a copy of this report was provided to Program Director Christine Lawrence.