Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 1:50pm to conducted a 1 year annual visit to the facility above. LPA met with Verneda Robinson, Program Supervisor back up to Administrator 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 an Infection Control Plan to the department. 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 placed in isolation until 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 an activity room on entry, 2 bathrooms, 1 staff office with a locked storage room, room with refrigerator, seating and desk. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has dual smoke and carbon monoxide detectors. The lighting is sufficient for the use of the facility and for client comfort. 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. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for clients use. Water temperature measured in bathroom #1 at 115.3 F.

Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 25 Ambulatory clients. Fire Extinguishers were charged and last inspected 06/20/2025

Staffing: The facility employes 7 staff and 1 Administrator. LPA will return at a later date to review staff records. Continued 809-C