Facility Evaluation Report

On December 5, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced to conduct a Required Annual Inspection. LPA met with Supervisor, Feather Vcelik, and explained the purpose of the visit. At the time of the inspection, 32 clients and 13 staff were present in the facility. LPA observed clients to be participating in several different activities, crafts, and classes. Four (4) clients were on a lunch outing with staff at a local park.

LPA Adkison and Supervisor toured the facility together to ensure the health and safety of clients in care.

Areas toured include but are not limited to: seven (7) classrooms, two (2) bathrooms, kitchen, sensory room, and storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed all walkways to be free of obstructions.

All areas observed were found to be clean and in good repair. All clients bring their lunches from home and staff assist with preparation in a microwave if needed. All cleaning supplies and other toxins were observed to be kept locked in a storage room and inaccessible to residents to care. There is a schedule of activities and classes posted in the main hallway as well as on the doorway of each client classroom..

The facility was observed to be at a comfortable temperature. The fire system was hard wired and last inspected in March 2025. Fire extinguishers are due to be inspected in December 2025. Supervisor noted the water temperatures in the building fluctuate often with the change in the weather, and are therefore measured twice a day. All water temperatures recorded were within Title 22 regulations. The last disaster drill was conducted and documented in November 2025. The facility has been conducting drills monthly.

LPA reviewed five (5) staff files and (5) client files which contained all the required documentation. All employees requiring background checks are cleared. All first aid and CPR training was present.

The facility is in compliance. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of this report was provided, via email, to Supervisor, Feather Vcelik.