Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct an annual required 1 year infection control inspection and met with Program Manager Holly Charlton. Facility is currently providing alternative services to 24 participants through online activities and staff drop off activity packages including arts and crafts supplies for participants in average once a week.

LPA initiated tour of the facility with Program Supervisor at 10:40 am and observed the following: Facility has a large open area as well as pocket areas for different activities in addition to two changing rooms, administrative offices, a quiet room, four bathrooms, kitchen and a dining area. Toxins are stored in various locked closets/storage rooms. One storage room containing cleaning supplies near the washer and dryer was locked. Medications are centrally stored in the nurse’s office. A refrigerator is located in the kitchen to accommodate client lunches and snacks. Facility provides non-perishable foods used for snacks and cooking classes, when opened. There are lockers for client's personal items. Water temperature in bathroom read at 113.7 which is within regulation of 105 and 120 degrees F. Facility is not conducting in-person programs at this time. Anticipated reopen to in-person 1/1/2023.

Fire extinguishers are fully charged and were last serviced 1/4/22. Sprinklers and pull stations are located throughout the facility and are tested regularly by a vendor who contracts with the landlord. First aid kits were observed. Carbon monoxide detectors were present and working at the time of visit. Disaster drills are conducted monthly and the most recent was conducted 10/30/22. Program provides transportation. The facility currently does not provide transportation services, the transportation services are provided by R&D and different vendors. Required postings were observed.