Facility Evaluation Report

On 8/26/24 at 10:35 am, Licensing Program Analyst (LPA) Rankin conducted an unannounced Annual/Required visit to the facility listed above. LPA met with Aisa Coronel, Life Enrichment Day Program Coordinator, and explained the purpose of the visit.

LPA toured facility with the day program coordinator. The program is community based. The program site is clean, safe, sanitary and in good repair for the safety and well-being of clients, employees, and visitors. Facility is maintained in conformity with state fire marshal regulations. The smoke detectors and carbon monoxide detectors are hardwired. At 12:06 pm, hot water temperatures in the client bathroom measured 118.2 F. All toilets and hand washing facilities are maintained in a safe, sanitary, operating condition. Each client is accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet their needs. Snacks, beverages, and meals are provided to clients. Food is stored and prepared in a safe and healthful manner. Fire extinguishers (3) are located in the large activity room near the kitchenette, in the kitchen, and in the hall near the laundry room. Extinguishers were fully charged and last inspected on 5/3/24. Facility temperature is 70 degrees.

Outdoor walkways are free from obstruction and the facility has fenced areas outside. Centrally stored medications are locked in a file cabinet in the coordinator’s locked office and inaccessible to clients. The Centrally Stored Medications are recorded and filed in a locked cabinet in the coordinator’s office. LPA observed sufficient staff to client ratio. Emergency disaster drills are being conducted quarterly and the last drill was on 7/30/24.