Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #1 (S1) Michael Newton and discussed the purpose of the inspection. Assistant Administrator (AA) Jordan Herman arrived during the inspection.

LPA reviewed Infection Control requirements. At about 10:30AM, LPA and AA conducted a tour of the inside and outside of the facility, common areas, storage areas, and bathrooms and observed the following: Structure: this is a large commercial facility which houses one day program. Facility has 6 common areas, multiple storage areas. 2 offices, and 4 bathrooms. The structure does not include any outside areas. The program hours are Monday through Friday, 8AM to 3PM. Morning and afternoon activities take place at the facility, but the program is community-based so clients and staff engage in activities outside in the community. LPA observed 3 staff and 2 clients present at the facility during the inspection because the clients are currently in the community. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 127.5 degrees F at the South West bathroom faucet, 129 at the South East bathroom, 145 at the North West bathroom, and 138 at the North East bathroom. LPA inspected all rooms in the facility. Emergency Phone Numbers and Exit Plan: reviewed. Food Service: this facility does not provide food service. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: inspected. Appliances: microwave inspected. Knives: there are no knives at the facility. Toxins: observed locked in the cleaning closet. Medication cabinet: facility does not handle medications. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 1:00PM, LPA reviewed 5 client files and 5 staff files and interviewed 2 clients and 3 staff. Facility does not handle client medications or money.