Facility Evaluation Report

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Autumn Rivers, Client Care Technician (CCT) Manager. Program Director Cecelia Steinbach joined the inspection later.

According to the facility’s license, there may be a maximum of thirty (30) clients at any given time at the day program site, all of whom must be ambulatory. During today’s inspection, there were thirteen (13) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by the Program Director, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. Hand hygiene supplies were present. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature was comfortable and compliant with Regulations. Hot water temperature at taps accessible to clients were likewise compliant. The drinking water dispenser dispenses hot and cold water, and had the required warning sign.