Facility Evaluation Report

On 02/25/25 Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Hillary Ocholla who was informed of the purpose of the visit; Licensee arrived to the facility approx. 30 minutes after. The facility has a fire clearance 30 clients and five (5) non-ambulatory.

LPA toured the facility and reviewed records. During the tour, LPA observed the facility is a one story building center that has a section with tables and chairs for clients to do Arts and Crafts activities, table top games and range of motion exercises, interaction with peers. There is twenty two (22) clients and six (6) staff present in the facility. The facility has 3.5 restrooms, facility has one (1) room where the keep activity games, PPE and first aid kit are kept locked in a cabinet, staff and client files are stored in a separate cabinet. The facility has a kitchen/lunch area for the staff only. Facility does not provide lunch or administrates medications, staff reported that clients bring their own lunch and snacks. The facility has required furniture, lighting, and a locked closet storage for personal hygiene supplies. LPA also observed four (4) charged fire extinguishers mounted throughout the facility, last serviced on 09/18/24. Facility has multiple operating dual smoke alarms and carbon monoxide detector that meet statutory standards. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions; there is three (3) emergency doors. LPA reviewed client files that had the required documents on file. Staff files reviewed had the Department's required training records and valid first aid/CPR certification.

Licensee was notified that CCLD has not received the facility's annual fee for 2025. LPA provided Licensee the PIN number (376317) to pay the annual fee.

No deficiencies were observed during today's visit. An exit interview was conducted and a copy of this report was provided.