Facility Evaluation Report

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Norshay Easter, program director, and informed them of the purpose of the visit. At the time of the visit, there were 6 staff members and 13 clients present.

Facility Overview: The facility was a one story building with 10 rooms and 3 bathrooms. 5 rooms were for gym, art, isolation, game and computers. The rest were for staff offices, dining and conference room. There were no pools or known firearms on the premises.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. There is no outdoor activity area. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 109°F. Fire extinguishers located at hallways had current inspection tags.

Food Service: The facility’s kitchen and dining room were observed to be clean and organized. The facility did not offer food services for the clients. LPA observed several clients having their own lunch in the dining area.