Facility Evaluation Report

On January 25, 2024, , Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Assistant Program Director, Dabatha Sequeira and explained the purpose of the visit. Program Director, Stacy Lochin joined the visit shortly thereafter.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. The day program has two floors; 4 activity/classroom areas, main activity room, kitchen, and bathrooms located on first floor and a computer lab and conference area located on the second floor. According to the Assistant Program Director, clients don't go on the second floor unless they are with staff using the computers. Activity rooms were observed to be clean, clear from tripping hazards, and spacious. During the visit, LPA observed clients doing activities in the main area and sufficient staff to provide care and supervision. LPA observed two separate bathrooms for women and men. Bathrooms were clean and odor-free; equipped with liquid soap and paper towels. Hot water temperature throughout the facility measured at 113 degrees F. Overall facility maintained a comfortable temperature and had sufficient lighting.

Kitchen door was observed the be locked. According to the Assistant Program Director, clients bring their lunches to the day program. Clients are able to store their lunches in the refrigerator. Medication, sharps, toxins, and chemicals were observed to be locked and inaccessible to clients. Kitchen was observed to be clean and free from pests and flies.

LPA checked all fire extinguishers which were inspected on 11/2023. First aid kit was observed to be present. Carbon monoxide detectors were not observed to be installed, however smoke alarms were present. LPA reviewed facilities emergency/ disaster plan. The last disaster drill was conducted on 12/2023. (continue to 809C)