Facility Evaluation Report

At approximately 9:50AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Administrator, Brittany Berringer . Facility is an Adult Day Program for Adults with Disabilities. Facility has an approved fire clearance and capacity for 75 Ambulatory Clients, of which 20 Clients can be Non-Ambulatory. Upon arrival, LPA was informed that there were 67 clients attending Day Program and 28 staff members on-site.

At approximately 10:05AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 10:20AM, LPA conducted a walk-though of the facility with Administrator. LPA observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility is a one story building with 7 classrooms, 5 bathrooms, 3 staff offices, and common areas. Facility has an Infection Control plan on file. Toxins were observed to be stored inaccessible to clients. There was an appropriate supply of cleaning products, hygiene products and paper products available for clients. Hot water temperatures for a sample size of 5 facility sinks were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Per Administrator, clients bring their own snacks and lunches to program and facility contracts with R&D services for transportation needs.

At approximately 11:00AM, LPA reviewed staff and client files, client medications, and client P&I monies. All files were all found to be well organized, thorough and contained the required documentation. Staff files were all found to have current First Aid and CPR certification. Medication was centrally stored and secure. P&I monies were documented, secure and not commingled. Facility's fire system including fire extinguishers, carbon monoxide and smoke detectors, and sprinklers were last inspected September 2024. Facility's last emergency/disaster drill was conducted September 2024.