Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 9:10am to conducted a 1 year annual visit to the facility above. LPA met with Administrator Raniele Jeffers 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, hand soap, and hand washing signs. 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 room until picked up from program. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers.

Physical Plant & Environmental Safety: The facility has a front entry with office, Isolation room, 2 Staff offices, Store, Library/ quiet room, Computer room, Art room, Storage & staff break room, Exercise classroom, Activity room, Locked Janitor room with cleaning supplies, Paperwork/Charting locked cabinet, Kitchen with Microwave, Air fryer, toaster oven, refrigerator, snack cabinet, and 4 restrooms, Large main meeting room, Changing room with locked medication cart, Pop-up canopy's for outside shade use. The Adult Day Program currently occupying 16 clients and employs 8 staff, 6 on call staff, 6 volunteers, and 1 Administrator and 1 back up Administrator.. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke and 1 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 and Janitors room. The facility has sufficient space inside for activities and visiting. The facility has telephone and internet service for clients. Water temperatures were checked in bathroom #1 at 112.3 degrees F. Continued 809-C