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25 | Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 9:25 a.m. The LPA met with Ash Galardi and explained the reason for the visit. There were twenty-four (24) consumers and ten (10) program staff present today. The program currently operates from 8:00 a.m. to 1:00 p.m. The day program was staffed with 1:3 staff to consumer ratios. Temperatures of staff and consumers are taken upon entry into the facility and at the end of program.
Common Activity Space: The facility is a single-story structure with a large activity room, small conference rooms, two (2) bathrooms, offices, and a food service area. The LPA did not observe any obstructions or hazards. Furniture and equipment was observed to be in good condition. Smoke detectors and carbon monoxide detectors were in operable condition. Activities: Activities are both designed for individual and as a group. The LPA observed staff working with consumers. Food Service: The kitchen area was clean and in good condition. Consumers bring their lunch and snacks. Restrooms: Restrooms were clean and sanitary and stocked with soap and paper towels. Files: At 10:00 a.m., the LPA checked staff associations and identified that all staff were fingerprint cleared and associated to this location.
Infection Control: There was a central entry point for symptom screening and temperature checks. The LPA was appropriately screened upon entry. Staff and consumers were wearing appropriate face coverings. Infection Control signs were observed throughout the facility. Facility has a sufficient supply of Personal Protection Equipment (PPE) but requested additional masks and gloves. The facility’s cleaning protocol was sufficient. The facility keeps record of staff and consumer vaccinations. The facility's procedures as it pertains to infection control are adequate.
No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.
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