Facility Evaluation Report

Licensing Program Analysts (LPAs) Michelle Echeverria and Renese Howell-Small conducted an unannounced required Annual Inspection. LPAs identified themselves to staff, Delfina Hernandez and Administrator, Brandon Cox who were advised of the purpose of the visit. The facility is currently licensed as an Adult Day Program and has 117 clients admitted. LPAs were accompanied by Brandon Cox to conduct a general overall inspection, which included, but was not limited to, the following:

LPAs inspected the facility inside. LPAs observed all passageways are clear of obstructions. The facility is maintained at a comfortable temperature of 75, 76, 74 and 73 degrees fahrenheit. LPAs inspected client activity rooms; they are equipped with required furniture and activity supplies/equipment for clients. LPAs inspected client bathrooms; bathroom appliances were operating in good conditions. LPAs observed grab bars in the bathrooms. LPAs observed accessible cleaning solutions left inside the bathroom and beneath a sink in the activity room. Deficiency issued. LPAs observed sufficient furniture and lighting throughout the facility. The hot water temperature tested within regulation at 116.8 degrees fahrenheit. Sharps were locked and inaccessible to clients. There are no firearms/ammunition or bodies of water. LPAs observed a broken kitchen cabinet, broken soap dispenser inside the bathroom, dirty bathroom wall, and broken gardening closet door. Deficiency issued.

At Day Program, clients are responsible to bring their own lunch. Snacks were accessible to clients and stored in a healthful manner. LPAs observed the kitchen area to be clean, free of odors, and in a healthful manner.

LPAs observed sufficient staff present for the number of clients in care. Medication is not stored in the facility. LPAs observed fire extinguishers, smoke alarms, carbon monoxide alarms, and first aid kit in the facility. The last disaster drill was conducted on 7/9/24.