Facility Evaluation Report

Licensing Program Analyst (LPA) Yolanda Delgado arrived to the facility unannounced to conduct the Annual Inspection on May 16, 2023. No answer at the door after knocking and ring the door bell twice. No cars in the drive way, no noises coming from the inside, windows closed. LPA called and left a voicemail requesting a call back. LPA left business card on the front door.

Licensing Program Analyst (LPA) Yolanda Delgado arrived to the facility unannounced to conduct the Annual Inspection on May 22, 2023. No answer at the door after knocking and ring the door bell. No cars in the drive way, no noises coming from the inside, two windows are open. LPA called and left a voicemail requesting a call back.

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that four (4) clients reside at this facility; all at Day program and there are currently two (2) staff present. There is an Infection Control Plan on file.

Client Records-Incident Reports/Clients Rights-Information/Dental- LPA began review of four (4) records were reviewed. Missing from some of the files for clients were medical assessment and TB test results, needs and service plans, functional assessment, and safeguard for personal property/valuables.

Personnel Records/Training/and Staffing- LPA began review of two (2) employee records and current administrator certification; expiration date 3/18/2024. One (1) staff interviewed.

Food Service- Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food is not discernible from pantry supply and water supply is present. There is a locked location for chemicals in the garage and sharps in the locked hallway. (CONTINUED ON LIC809C)