Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 3/10/2023 at 09:15 a.m. LPA was granted entry and met with Administrator Gillian Hennessey, who was informed of the purpose of the visit.

The facility is a one story facility with (3) activity room and (4) bathrooms and changing rooms for clients between the ages of 18-59. LPA conducted a tour of the interior and exterior of the facility and observed the following:

Infection Control: The LPA observed the hand washing stations in the facility had a hand washing signs. LPA also observed gloves in client restrooms, and waste bins with tight fitted lids. The facility also possesses cleaning supplies to do regular cleaning of the facility. The facility is currently screening and taking temperature for facility visitors. The LPA also observed the COVID binder with infection control training, cleaning plan, and up to date guidance on COVID-19.

Physical Plant: LPA observed materials in activity rooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. There is an adequate number of activity rooms for the capacity of the facility. The facility has no outdoor area. Chemicals were observed in a locked closet next to facility rest area and kitchen.

Operating Requirements: The facility has secured a fire clearance that is for 30 ambulatory and 30 non-ambulatory clients. The facility is currently operating at full capacity.

Food Service: LPA observed kitchen and rest area which was observed to be clean and possess equipment in good working condition. LPA observed refrigerators where the clients lunches are being kept.