Facility Evaluation Report

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to continue a Required Annual Inspection, which began on 07/12/24. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Director of Programming Mark Fisher.

According to the facility’s license, the facility serves four hundred (400) developmentally disabled adults; ages 18 and above, fifty (50) of whom may be non-ambulatory. During today’s inspection, the facility’s current census was 378.

LPA, accompanied by Mark Fisher and Health & Safety Manager Kim Holt, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. The rooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Personal Protective Equipment was available. The facility had sufficient space and equipment to facilitate programs, meetings, activities, and dining.

Water temperature at taps accessible to clients were compliant; in bathrooms accessible to clients, there is one neutral water tap that provided lukewarm water.

Cooking/dining equipment and utensils were present, and all safely stored. Food was observed to be served in a safe and healthful manner. There were no toxic chemicals/poisons accessible to clients. Medications were properly labeled, as required, and stored in locked areas.