Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Kara Mitchell, Case Manager, and discussed the purpose of the visit. The facility is an Adult Day Program (ADP) with a license capacity of (100) and a current census (27). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: The facility is operating at a 3:1 client/staff ratio. The facility has an infection control and emergency disaster plan for review. Indoor and outdoor passageways were kept free of obstruction. Activity rooms were maintained clean and odor free. The facility has a sufficient supply of drinking water and activity supplies for clients. Client bathrooms were maintained in a safe and sanitary condition. The hot water temperature tested at 105 degrees F. The facility is equipped with smoke/carbon monoxide alarms, fire extinguishers, and telephone service. An annual fire district inspection was conducted on 1/23/2025. Cleaning supplies and other dangerous items were kept locked in the laundry area. The facility has refrigerators and storage space for clients to store lunches. Snacks are provided by the facility.

Record Review: Staff records reviewed had First Aid/CPR certifications, criminal record clearances, job training, and health screenings. Client records reviewed had admissions agreements, needs and service plans, and medical assessments.

Based on LPA observations, no deficiencies were cited during today’s visit. An exit interview was conducted, and this report (LIC809) was discussed with Case Manager Mitchell and a copy provided by email at the conclusion of the visit.