Facility Evaluation Report

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced to conduct an Annual Required Inspection at approximately 9AM and was greeted by Program Director, Harold Williams. LPA and Program Director discussed the purpose of the visit.

LPA and Program Director initiated a tour of the facility at approximately 9:10AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in sinks accessible to clients measured at 116, 119, 119 and 120 degrees F which are within the range of 105-120 degrees F allowed per regulation. Extra Personal Protective Equipment is available. Cleaning supplies were located in hallway closet and locked. Facility has a large outdoor area free from hazards with a shaded area and a client vegetable garden. Facility does not handle medications or client cash resources. Clients were observed engaged in multiple activities throughout the visit, and has extra puzzles, games, art supplies, and various other activities available for client use. Facility has a kitchen to provide snacks and occasional lunches to clients, although clients usually bring their own lunches.

5 staff files and 5 client files were reviewed. Staff have required first aid. Clients have updated IPP/ISP (Individual Program Plan/ Individual Service Plan) on file and up to date. Facility is conducting disaster drills per regulation and conducting staff trainings on a monthly basis. Fire extinguishers were last serviced 11/02/2023. Fire alarms are hardwired and were last tested and operational during fire inspection on 11/02/2023. Carbon Monoxide detector is located in kitchen and was last tested and operational on 11/02/2023.

No deficiencies cited during todays visit.

LPA is requesting the following to be submitted to CCL by 12/27/2023: