Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Legal/Non-compliance, and Annual Required inspection and met with Administrator Megan Lawrence-Ferreira. At the time of visit, clients were attending to Day Program except one client who was at home. Fees are current.

LPA/Administrator initiated a tour of the facility at approximate 9:15am and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. Water temperatures in client bathroom read at 107.4 and 108.3 which is within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet in the garage. Medications are centrally stored in locked closet. Fire extinguishers were last inspected March 2024. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 6/3/24. Facility does have a current activity calendar and menu. Required postings were observed. Cash resources and documentation were reviewed.

LPA initiated a file review at 9:45 am. Four client and four staff files were reviewed. Clients records have updated care plans on file. First aid certificates for staff are current. Administrator Certificate for Megan Lawrence-Ferreira 604663075 expires 1/19/2024. The Administrator was able to provide proof of written documentation that their administrator certificate application was received and it's been processed as of 5/15/25. Medications and medication records were reviewed.

Administrator agreed to submit updates of the following documents: LIC500 (Personnel Report), LIC308 (Designation of facility responsibility), Surety bond, LIC400 (cash affidavit for clients) and LIC610D - Emergency Disaster Plan.