Facility Evaluation Report

Licensing Program Analysts (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection. 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, Nancy Eldridge.

According to the facility’s license, there may be a maximum of thirty (30) clients at any given time at the day program site, all of which must be ambulatory. During today’s inspection, there were twenty-three (23) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.

LPAs, accompanied by Director Eldridge, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. Hand hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate visitation, meetings, and client activities. There is one main building with 2 classrooms, offices, and bathrooms. There is a large, covered area that they use for morning meetings and class activities. The facility’s ambient internal temperature was comfortable and compliant. Hot water temperature in the bathroom taps accessible to clients were also compliant.