Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with staff Donovan Douangaphay. Licensee/Administrator Jeff LaDow arrived later. Clients were attending day program during visit. Required postings were observed. Annual fees are current.

LPA/staff initiated a tour of the facility at 1:00pm 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 109.9 and 117.5 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 2025. Facility has a fire pull system. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted 2/13/2025. Cash resources and documentation were reviewed.

LPA initiated a file review at 1:30 pm. Four client and three staff files were reviewed. Clients have medical assessments and current care plans. First aid certificates for staff are current and required annual training hours complete. Administrator Certificate for Jeff LaDow 7034461735, expires 4/13/2026. Medications and medication records were reviewed. Contact information was reviewed.

Licensee provided the following documents: Copy of Surety Bond, LIC308 - Designation of Administrative Responsibility, LIC500 - Personnel Report and LIC400 - Affidavit for client's cash resources.

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