Facility Evaluation Report

On June 18, 2024, at 1:55pm Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required annual inspection. LPA was greeted and granted entry by Lead Therapist (LT) Lindsey Lyon and stated the purpose of the visit. Administrator Mathew Carver stated over the phone he would not bet at the facility today.

LPA Kim accompanied by LT Lyon began the tour of the inside of the facility. Facility is a three story commercial building with a basement. Basement is used for a music studio for clients. There are two storage rooms, where one has a kitchen. No food supplies, sharps, or cleaning supplies are stored in the kitchen. There are two bathrooms located in the basement and two bathrooms located on the first floor with all having working wash basin, soap, paper towels, and toilet paper. On the first floor LPA observed 3 clinical office rooms and plenty of ample seating at the common area. The second floor has an office desk space in it. There is a dance/yoga studio on the third floor. LPA observe that the facility fire clearance is maintained in conformity with the State Fire Marshall regulatory standards. Smoke detectors and sprinkler systems are serviced annually by an outside vendor. There are Fire extinguishers that are charged and all serviced on June 12, 2024.

There are no bodies of water or obstruction at this location. Disinfectants cleaning solutions and poisons are inaccessible to clients and stored locked. The premises and furnishings are in good repair. There are no food preparation areas at this site. Clients provide their own lunches and/or go out for lunch. Facility provides snacks as needed. Clients were in a group session at the time of visit and are adequately supervised to meet their needs. Facility does not handle medication for clients and therefore does not have a location for medication storage. LPA observed all client’s have a medication lists on files.