Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual inspection on this date. LPA met with Atiana Lenus-Figueroa and explained the purpose of the visit.

This Day Program is licensed for (80) eighty residents of which (10) ten may be non-ambulatory residents. LPA and Staff toured the facility which included a common area, 4 bathrooms, kitchen and several small classrooms. Participants were observed interacting with peers and staff. During this visit, there were 28 participants present before they departed.

LPA inspected physical plant including but not limited to (2) class rooms, Large recreation room and Staff break room. LPA observed sufficient furniture and lighting throughout the program. Hot water temperature was measured at 75 degrees Fahrenheit in the bathroom, which is not within the required range of 105 to 120 degrees. (Advisories given)

First aid kit was checked and is complete. 4 Staff and 10 Resident’s records were reviewed. 2 of 10 residents are without an Individual Program Plan ( IPP). Health screening for 3 of 4 Staff missing. (Advisories given)