Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an unannounced annual required visit on 5/22/2024 at 12:45 p.m. LPA was granted entry and met with Administrator, Kathrin Baer and Operations Manager Uriel Neis who was informed of the purpose of the visit. At the time of the visit there was (10) staff and (2) clients present. LPA was informed the rest of the clients were on an outing in the community.

The facility is a one story building with (13) bedrooms and (6) bathrooms. The facility is comprised of (2) buildings which sit on the same lot as the day program (372008307). No pools or firearms are being kept at the facility. The clients served are adults between the ages of 18-59 who have been diagnosed with a neurological handicap. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted staff and client interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. LPA observed the cleaning supplies were kept in an locked cabinet under the kitchen sink as well as in a locked cabinet in the laundry room. The smoke detector and carbon monoxide were operational, and the hot water temperature 120 F.