Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct a Required 1-year Infection Control Inspection of the facility and met with James Cox, Director of Services (DOS). The program is open Monday through Friday from 8:00am to 3:30pm. Facility provides daily outings into the community as well as site-based activities.

There are currently 35 participants on a daily basis at the facility with 65 participants out in the community. At 2:35 PM LPA conducted inspection and toured the facility and grounds with James Cox, DOS. Required documents are posted throughout the facility. Facility has a centralized sign-in sheet that documents staff and participants attendance. Bathrooms used by participants were sanitary and in good repair. Smoke; fire extinguisher are tested annually, carbon monoxide inspected regularly by Fire Department. The facility's fire extinguishers were last serviced May 26, 2022. Program shares building with other organizations. In the central office area with cubicles for staff are where medications are centrally stored in a locked cabinet, although at this time there are no participants who take medications while at the facility. Facility was a comfortable temperature and passageways were free from obstructions. There is a program space used for production activities for 5 participants, warehouse has a kitchen with functioning appliances. Large program production space with two shared bathrooms, restrooms have stalls, sink, soap dispensers. Water in bathrooms measured within allowable range. Facility has personal lockers for participants to store their personal items. Participants bring sack lunches/snacks and there is a refrigerator available for them. Facility doesn't handle cash resources. Facility has a contract with R&D transportation services who daily screen participants at entry and documents the results.

LPA reviewed Licensing Information System (LIS) with Director of Services who informed all information is up to date. LPA advised facility to contact Local County Public Health and DSS/CCL Community Care Licensing immediately if symptoms or COVID-19 + in the facility.