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.

Upon arrival, LPA confirmed with Administrator that they are following current Covid19 and masks guidance. LPA/Administrator initiated a tour of the facility 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 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 2023. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 6/6/23. Facility does have a current activity calendar and menu. Required postings were observed. First aid kit was fully stocked. Cash resources and documentation were reviewed.

LPA initiated a file review at 1:00 pm. Four client and six 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. Medications and medication records were reviewed.