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25 | Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with James Hanrahan, CCT Manager. Program Director Cecilia Steinbach later arrived to meet with LPA.
According to the facility’s license, there may be a maximum of thirty (30) clients at any given time at the day program site, all of whom must be ambulatory. During today’s inspection, there were five (5) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.
LPA, accompanied by staff, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. Hand hygiene supplies were present. The facility had sufficient space and equipment to facilitate meetings and client activities. Hot water temperature at taps accessible to clients were likewise compliant. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises. Smoke alarms, carbon monoxide detectors, emergency lighting,facility telephone and fire extinguishers all present. First aid kits were complete and readily accessible.
LPA reviewed multiple staff and client records/files and conducted interviews. The files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. No deficiencies were observed or cited during today's visit.
An exit interview was conducted with Steinbach, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit.
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