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. Annual fees are current.

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 their Mentors. Participants bring their own lunches which are stored in lockers. Bathrooms had hand rails for safety and appeared sanitary. Water temperature read at 106.7 F which are within regulation of 105 and 120 degrees F. Toxins were inspected and are stored in a locked closet located in the staff room that was also locked. Fire extinguishers were last serviced August, 2024. 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 2024. Last disaster drill was conducted on 10/17/24. Facility does not provide transportation, handle medications or cash resources.

LPA initiated at 9:30am file review of five staff and ten participant files. Staff files reviewed do not have required First Aid, CPR Certificates. All staff have at least eight hours of training documented on file. Participant files have needs and services plans updated, but five out of ten participants (P2-P6) medical assessments were not on file.