Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee Jeff LaDow. At the time of visit, all clients were attending to Day Program.

Upon arrival, LPA confirmed with Licensee that they are following current Covid19 and masks guidance. LPA/Licensee 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 bathrooms read at 118.8 and 115.7 which are 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 boxes. Fire extinguishers were last inspected April 2023. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 4/25/23. Facility does have a current activity calendar. Required postings were observed. Emergency supplies were observed including flashlights and water. First aid kit was fully stocked. Facility van was inspected and have 1st aid kit fully stocked and fire extinguisher service and charged.

LPA initiated a file review at 9:00 am. Five 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 Jeff LaDow 6014982735, expires 4/12/2024. Medications and medication records were reviewed. Cash resources and documentation were reviewed.

LPA obtained 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.

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