Facility Evaluation Report

On 02/24/2026, Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to conduct a Required- 1 Year Inspection utilizing the CARE Tool. LPA met with Program Director, Bernadette Lacsina, and explained the purpose of the visit. The program offers various activities for the clients including arts and crafts, cooking, computer, music, and learning/ job skills training.

The facility has two large class rooms, a large multipurpose room, a computer room, kitchen area, general purpose area and two bathrooms. LPA and Director toured the interior and exterior of the facility to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, bathrooms, and kitchen. The last fire drill was conducted on 02/03/2026. The fire extinguishers were serviced on 05/06/2025. All chemicals and medications were locked and secured. First aid was completed.

LPA reviewed a total of three (3) client files. Client files contain signed admission agreements, physician's reports, and IPP. LPA reviewed a total of two (2) staff records and all documentation was present including first aid, fingerprint clearance, and health screening.

During today's visit no deficiencies are being cite.

Exit interview conducted and report provided.