Facility Evaluation Report

08/05/2025 at approximately 8:30am, Licensing Program Analyst (LPA) Hansen arrived unannounced to continue an Annual Required inspection that was initiated on 07/31/2025, and was greeted by staff. Program Director, Jade Dolcini arrived shortly after.

LPA conducted spot medication count and found 2 of 2 to be properly recorded on the Centrally Stored Medication log. Based on records LPA observed all medications were properly documented. LPA was informed by Program Director that facility has electronic files for clients and staff.

At approximately 9:30 am, LPA continued a review of five(5) client records. All records had the required documentation.

At approximately 10:30 pm, LPA conducted review of five (5) staff records/training. Upon a review of records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file.

LPA and Program Director tested smoke & combined carbine monoxide detectors, finding in working order. Disaster Drills have been conducted quarterly and in different shifts with the last being 4/21/2025.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit:

Designation of Facility Responsibility (LIC308)

Exit interview conducted. Copy of report, LIC9102 (Technical Advisory/Violation) discussed and provided to Program Director . Signature on form confirms receipt of documents.