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25 | Licensing Program Analysts (LPAs) Joseph Alejandre and Hanna Gough made an unannounced visit to conduct the required annual inspection. LPAs met with Operations Manager (OM) Jillian Rivero and Assistant Program Director (APD) Jordan Herman and explained the reason for the visit. LPAs, OM, and APD toured the facility. Facility is an adult day program with a capacity of 70 ambulatory clients. Facility is a 2 story building with multiple activity rooms, offices, conference rooms, and 4 bathrooms. During the visit 12 clients were present at the facility. During the visit all staff present at the facility were background cleared and associated to the facility. LPAs observed that all fire extinguishers in the building are fully charged. LPAs observed during the visit that clients were engaged in various activities such as arts and crafts, puzzles, and reading. LPAs observed all bathrooms are clean and operational, hot water measured 116.2 degrees Fahrenheit. LPAs observed the kitchenette is clean and organized. The refrigerator is clean and operational. There is a microwave oven that is operational and a sink. There is no stove in the kitchenette. LPAs observed the back exit door is operational. The last fire drill was conducted on December 27, 2024. LPAs did not observe any obstacles or hazards inside the facility. LPAs reviewed 5 staff files. All 5 staff members had CPR/first aid training and had all the required training. No discrepancies observed in the staff files. LPAs reviewed 7 client files. No discrepancies observed. No deficiencies observed during the visit. No deficiencies are being cited as a result of todays visit. An exit interview was conducted and a copy of the report was provided. |