Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced required annual visit to the facility. LPA met with Dianna Anderson, Administrator, and discussed the purpose of the visit. The facility is an Adult Day Program with a license capacity of 75 and a current census of 23 clients. Facility is operating in ratio. LPA conducted an overall inspection, which included, but was not limited to the following: The facility indoor and outdoor passageways are clear and free of obstructions. The facility has sufficient activity space for clients. Client activities include watching videos, board games, arts and crafts, and off-site sport activities. LPA inspected client bathrooms; Bathroom equipment was in sanitary and operating conditions. The hot water temperatures in client bathrooms #1, #2, #3 tested below regulation requirements at 78 degrees F. LPA observed snacks were accessible to clients and stored in a healthful manner. Facility has sufficient plates and cups for clients. The facility has filtered drinking water for clients. The facility has operating telephone service and carbon monoxide alarms. Emergency evacuation plans, personal rights and Community Care Licensing complaint posters were posted in the common area. An evacuation drill was conducted on 9/26/23. Facility has complete first aid kits and sufficient personal protective equipment. Disinfectants, cleaning supplies, and sharps were kept locked and inaccessible to clients in care. LPA reviewed (4) staff files for criminal record clearances or exemptions, training, and health screenings. LPA reviewed (4) client files for emergency contacts, admissions’ agreements, medical assessments and needs and service plans. LPA file review revealed client #3 (C3) had an incomplete medical assessment on file. Client #4 (C4) did not have a written medical assessment (physical) on file. Deficiencies were cited during today’s visit and a plan of correction was discussed with the Administrator. An exit interview was conducted, and a copy of the licensing reports were provided to the administrator at the conclusion of the visit.