Facility Evaluation Report

At 10:45 AM on 6/18/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility unannounced to conduct a required annual inspection and was greeted by a staff instructor (S1). The LPA identified herself, explained the purpose of the visit, and asked to meet with the Designated Facility Administrator (DFA). The Program Supervisor (S2) was on-site and showed the LPA the LIC 310 designating him administrative responsibility in the DFA’s absence. The LPA conducted an interview with S2 and then toured the facility with him.

This facility is a day program that is licensed to serve 35 clients. The census was two staff and three clients at the time of the site visit. When the LPA arrived, the clients were in the front activity room working on projects. Three other staff were in the community with nine clients. All five staff have criminal background clearances per Guardian. The facility consisted of one large activity area, three smaller activity areas, three offices, two bathrooms, and a kitchen.

Upon entering the facility, the LPA toured the large, front activity room. The LPA observed required postings right inside the door, including the license, insurance, Provider Information Notices, and Disaster Plan. This room had laminate flooring and five large folding tables with chairs. S2 stated that clients did arts and crafts and ate lunch in this room. Three computer workstations are located on two of these tables. The room was divided by a sliding divider, which was open at the time of this visit. On the other side of the divider, the LPA observed two couches, carpeted flooring, and a large television. S2 stated that clients watch instructional, physical fitness, and recreational videos in this room. The thermostat is set at 71 degrees Fahrenheit.