Facility Evaluation Report

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Supervisor Maria Martinez and Director Marcie Laws.

According to the facility’s license, there may be a maximum of forty-two (42) clients at any given time at the day program site, of which ten (10) may be nonambulatory. During today’s inspection, there were twenty-seven (27) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Director Laws, 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.

Hot water temperature at taps accessible to clients were all compliant.

There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible.

The files which LPAs reviewed contained required documents. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance. Required licensing postings were observed in visible areas of the facility.