Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced required Annual Inspection. LPA identified herself to Assistant Program Manager, Carlos Diaz and Program Supervisor, Chaztiney Cloud who were advised of the purpose of the visit. The facility is currently licensed as an Adult Day Program and has 56 clients present. LPA was accompanied by Carlos Diaz and Chaztiney Cloud to conduct a general overall inspection, which included, but was not limited to, the following:

LPA inspected the facility inside. LPA observed all passageways are clear of obstructions. The facility is maintained at a comfortable temperature of 70, 71, 73 and 71 degrees fahrenheit. LPA inspected client activity rooms 1-9; they are equipped with required furniture and activity supplies/equipment for clients. LPA inspected client bathrooms; bathroom appliances were operating in good and sanitary conditions. LPA observed grab bars in the bathrooms. LPA observed sufficient furniture and lighting throughout the facility. The hot water temperature tested within regulation at 116.6 degrees fahrenheit. Disinfectants, toxins, sharps and cleaning supplies are locked and inaccessible to clients. There are no firearms/ammunition or bodies of water.

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

LPA observed sufficient staff present for the number of clients in care. Medication is locked and inaccessible to clients in the facility. LPA observed fire extinguishers, smoke alarms, carbon monoxide alarms, and first aid kit in the facility. The last disaster drill was conducted on 2/13/24.

LPA reviewed four (4) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings.