Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 1:00pm to conducted a 1 year annual visit to the facility above. LPA met with Administrator Regina Ceasar and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Infection Control: The Adult Day Program (ADP) has submitted a current Infection Control Plan to the department. The facility has a sign in and out binder for visitors at entry. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will be picked up from program. Staff are trained on infection control and the use of Personal Protective Equipment (PPE).

Physical Plant & Environmental Safety: The facility has 2 buildings multiple rooms with an activity room, 1 staff office room, kitchen & medication room, and 4 restrooms, the facility is currently occupying 26 clients and employs 20 staff. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors. The lighting is sufficient for the use of the facility and for clients comfort. The facility kitchen is clean, safe and sanitary. Toilet and hand washing facilities are operational. The pathways are clear of any obstructions. Disinfectant, cleaning solutions and poisons are inaccessible to clients in care locked in supply closet near the kitchen. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for clients. Water temperatures were checked and within regulation requirements.