Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Administrator Megan Lawrence-Ferreira. At the time of visit, clients were attending to Day Program. Fees are current. Required postings were observed.

LPA/Administrator initiated a tour of the facility at approximate 12:30pm 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 105.6 and 105.8 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 2025. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 6/6/25. Evacuation chair available. Facility does have a current activity calendar and menu. Cash resources and documentation were reviewed. LPA reviewed 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 7014697735 expires 1/19/2026. Medications and medication records were reviewed. Administrator submitted updates of the following documents: LIC500 (Personnel Report), liability insurance, LIC308 (Designation of facility responsibility), Surety bond, and LIC400 (cash affidavit for clients).

No deficiencies cited during today's inspection. Exit interview conducted with Administrator and a copy of this report was given.