Routine inspection·February 9, 2023

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Inspection Visit utilizing the infection control domain. LPA met with administrative assistant and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. LPA Wallace and administrative assistant assistant toured facility together to ensure health and safety of clients who attend the day program. Areas toured include but are not limited to: common areas, bathrooms, office, and storage rooms. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Wallace and Administrator Assistant completed the infection control domain and facility was found to be in substantial compliance at this time. Hot water temperature was measured at 113.4 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers were last inspected on 10/10/2022. Smoke and carbon monoxide sensors are in compliance with fire safety. Thermostat observed at (74.5) degrees Fahrenheit. LPA reviewed four (4) client records and four (4) staff records. All documents were complete and staff have current first aid certificates. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report was provided to administrative assistant at facility.