Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Director Joseph Greene.

LPA toured the facility; all exits were unobstructed. LPA observed 8 clients participating in activities. There were 4 staff, including the Director, on site at the time of inspection. Different Strokes is currently providing in-person services Monday - Friday, and providing alternative services for one participant on a regular basis and for other clients as needed.

LPA reviewed facility files: 5 of 5 staff files reviewed were complete and included current CPR/first aid certification. 5 of 5 client files reviewed were complete. LPA requested that most recent Physician's Reports be included in client files. Fire extinguisher was fully charged and serviced 12/04/2023. Last fire drill was conducted on 03/11/2024. Cleaning supplies and disinfectants were observed locked and inaccessible. LPA observed soap & paper towels available in bathrooms. The facility does not handle client cash resources and does not administer medication. Water was tested and was within regulation of 105 - 120 degrees F.

LPA requested the following updated records:

· LIC 500 Personnel Report; LIC 9020 Register of Facility Clients

Exit interview conducted with Director, whose signature on this document confirms receipt. **No deficiencies cited during this inspection