Facility Evaluation Report

06/13/2024 11:15 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Mary McElwain and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of clients who attend program. Areas toured include but are not limited to common areas, two (2) bathrooms, kitchen, storage areas and b ack yard. Staff and resident files were reviewed. All employees requiring background checks are cleared.

There is a schedule of recreational activities planned for the clients. The facility runs a recycling program that the clients can participate in if they chose to do so. Funds are placed into a client activities account and clients can use the money as they chose including participating in an annual group summer trip. Any recyclable materials that are collected are temporarily stored in an out building and taken to the local recycling center weekly.

The facility was observed to be at a comfortable temperature. Common area was clean and in good repair. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Fire extinguishers fully charged and were inspected in July 2023. No pools/bodies of water are on premises. Last disaster drill was conducted in May 2024 which was a fire drill, the facility has been conducting fire drills monthly. Facility has also been providing safety training to the clients including fire safety, earthquake safety and general safety.

LPA requested the following documents in order to update the facility file:

In the areas toured no immediate health, safety, or personal rights violations were observed. No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report was provided to administrator Mary McElwain.