Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George conducted an unannounced a 1 year required visit. LPA was granted entry Program Director Bill McAweeney and met with current who was informed of the purpose of the visit. The facility is licensed to serve neurologically handicapped head injured adults, aged 18-59, all of whom may be non-ambulatory. At the time of the visit there was (1) client present.

The facility is a story structure that offers day program services consisting the following therapies: occupational, physical and recreational, speech, music and neuropsychological. In addition to individual and group counseling. The physical plant consists of multiple staff offices, kitchen, gym, activity room, music room, break room, and a shaded area. The passageways were observed to be free of any obstruction. The emergency disaster drill was conducted on 1/30/25. The fire inspection was completed December 2024. The facility was observed to have operable smoke and carbon monoxide detectors. There are no known guns or ammunition being stored on grounds. There were no pools or bodies of water observed on grounds. The chemicals are stored in a locked maintenance closet. The hot water was tested in the bathrooms and measured to be between 113.5-116.2 degrees Fahrenheit.

Staff present were observed to have criminal record clearance and to be associated to the facility. Staff completed the required training including CPR/First Aid. The Administrator Kathirin has submitted her renewal application. The client files were observed to have the required assessments completed. There was no review of medication as there are currently no clients attending program that takes medication.

The facility has a kitchen that is used for preparing meals during occupational therapy sessions. The kitchen was observed to be clean. If cooking is not apart of the client care plan, then the client will bring their lunch from home. The sharps, and knives are stored in a locked drawer next to the kitchen sink. Based on today's inspection no deficiencies were observed. An exit interview was conducted and a copy of this report was provided to Uriel Ndis, Operations Manager and Program Director Bill McAweeney.