Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and case management to follow up on a self incident report and met with Mary Gannon Graham, Artist Coordinator. The program is open Monday through Friday from 9:00am to 3:00pm.

LPA/Artist Coordinator toured the facility 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 September 2025. 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 September 2025. Last disaster drill was conducted on 5/28/25. Facility does not provide transportation, handle medications or cash resources. Required postings were observed. Annual fees are current.

LPA initiated at 9:30am file review of four staff and five participant files. All staff have at least eight hours of training documented on file. Participant files have needs and services plans updated and medical assessments.