Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Mary Gannon Graham (Artist Coordinator). The program is open Monday through Friday from 9:00am to 3:00pm. Required postings were observed. Facility does not provide transportation.

LPA initiated a tour of the facility at 9:00am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Participants were participating in various activities in classrooms with Artist Mentors. Facility was compliant with the ratio dictated by the regional center. Participants bring their own lunches which are stored in lockers. LPA observed multiple completed art projects throughout facility. Bathrooms had hand rails for safety and appeared sanitary. Water temperature read at 105.1 F which are within regulation of 105 and 120 degrees Fahrenheit. Toxins were inspected and are stored in a locked closet located in the staff room that was also locked at time of inspection. Fire extinguishers were last serviced August, 2023. Facility has a centralized smoke detector system that is maintained by a vendor and inspected by the local fire department. Most recent service was conducted August 2023. Last Emergency Disaster Drill was conducted on 10/19/23.

LPA initiated at 9:30am file review of five staff and ten participant files. Staff files reviewed have required First Aid, CPR Certificates. However, four out of five staff did not have at least 8 hours of training documented on file a technical violation was issued. Facility does not handle medications or cash resources. Participant files have needs and services plans updated, but 9 out of 10 participants (P1-P9) medical assessments were not on file. Facility showed a letter dated 8/31/23 sent to participant's responsible party requesting an updated physician's report (LIC602) form.

Facility will provide updated copies of the following documents by 11/30/23: Designation of Responsibility (LIC308), Personnel Report (LIC500) and lease agreement. No deficiencies were cited during this inspection. Exit interview was conducted with Artist Coordinator. A copy of this report was provided.