Facility Evaluation Report

At 11:40am on 08/05/2025, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct the facility annual inspection. LPA noted that this is the first full annual inspection for this facility. LPA and Administrator, Sheryl Sterling conducted a physical tour of the facility. This facility is attached to an office building that houses additional business that are not related to this day program. The facility physical use is limited to the south side wing of the building. There are 5 classrooms with a computer room, and two bathrooms that are gender specific. There is also a changing room. There are several closets and offices and some of the client activity space is separated by office partitions and there is a kitchen. LPA noted that the clients provide their own lurches from home, however there are snacks available to clients who don't have a lunch. LPA noted that water temperatures were tested in both bathrooms and kitchen, and were all within regulation requirements of 105*-120*(f). LPA noted that there were 4 observed fire extinguishers throughout the licensed facility area, all exits were free and clear of obstacles and debit. This facility has an internal fire detection system and fire sprinklers that was inspected and test conducted by Alpha Fire & Security Alarm dated 05/01/2025 shows all systems visually tested, factionally tested and passing. LPA noted that the facility stores medications in the Administration office behind a locked door in a locked cabinet. There are two complete first aide kits per regulations located in the administration office and the facility kitchen. LPA conducted full review of facility infection control plan,and emergency disaster plan. LPA noted that emergency disaster drill are conducted approximately ever other month. LPA reviewed staff and client files, as well a sample of centrally stored medication records. LPA noted only one citation was issued for Client 1 (C1) not having original admissions agreement available for inspection [82068(a)]. There were no other violations or citations noted on the annual facility physical inspection.

Administrator and LPA conducted a full review of the annual care tools module and found no other violations or citations during this annual inspection.

Exit interview, report read, appal rights and report provided.