Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw-Ross conducted an unannounced annual required visit on 04/06/2026. LPA was granted entry and met with Program Manager William McAweeney, who was informed of the purpose of the visit. The facility is licensed to serve neurologically handicapped head injured adults, aged 18-59, all whom may be non-ambulatory. At the time of the visit there were (14) clients present.

The facility is a single story structure consisting of with (10) bedrooms and (5) bathrooms. The facility is comprised of two (2) buildings that are adjacent to one another and housed on the same lot as the day program (372008307). There are no pools, bodies of water, or known guns being kept at the facility. The facility consists of TV room, staff office, Laundry room and lounge area, in addition to the dining area as well as the kitchen. The facility has an added therapeutic tool, as well as a therapy dog for clients. Therapeutic services are being offered Tuesday through Friday.

The facility is equipped for fully charged fire extinguishers. The food supply met with minimum of a 2 day supply of perishables and a 7 day supply of non perishable food items. The facility was observed to be clean and the passageways were free from any obstructions. The hot water measured to be be at 119 degrees Fahrenheit. The medications are stored in a locked medication cart inside the locked medication room and are being administered according to physician's orders. The emergency disaster drill was conducted on 02/27/2026. The last fire inspection was completed on 01/16/2026. The facility was observed to have operable smoke and carbon monoxide detectors. LPA observed all facility exits were clear from obstructions. The facility annual fees are up to date. All staff reviewed have criminal clearance and updated training along with CPR/First Aid Certification and files were found to be complete. The resident files were also found to be complete as well. During today's visit, no deficiencies were observed.

An exit interview was conducted and a copy of this report was provided to Program Manager, William McAweeney.