Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Director Jody Dye.

According to the facility’s license, there may be a maximum of two hundred twenty-four (224) developmentally disabled adults ages 18 and above; of which one hundred eighty (180) may be non-ambulatory. The facility has three (3) separate building that house 5 components. The facility does not feature a secured perimeter or delayed egress doors.

LPA’ accompanied by Director Dye, 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. There are ten (10) working bathrooms in the facility. Doors, sinks, and toilets were in working order. LPA observed supply closet with a surplus of incontinence supplies throughout the buildings for daily as well as emergency use. LPA observed several areas that are available for privacy such as changing, rest, phone calls and de-escalation.

There were no sharp objects or toxic chemicals/poisons accessible to clients. No pools or bodies of water were observed on the premises. All fire and carbon monoxide detectors are working. Emergency lighting, and facility telephone were all working. Fire extinguishers were operable. First aid kits were complete and readily accessible.