Facility Evaluation Report

On this day, March 10, 2025, at 10:45 am, Licensing Program Analyst (LPA) Delmundo conducted an announced pre-licensing inspection and met with Corshema Taylor, applicant-administrator, and Anthony Taylor, applicant. License application is for change of location for four (4) total capacity, all ambulatory. Fire clearance was granted on February 28, 2025.

LPA toured the facility inside out with the applicants. LPA inspected the living room, kitchen, bedrooms, bathrooms, front, side and backyard. Bedrooms were observed appropriately furnished with adequate lighting and drawers. The facility has sufficient towels and linens. Supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed adequate for residents' use. There’s 7 days supplies of non-perishables and 2 days of perishables. Facility is equipped with refrigerator, microwave and dishwasher. Central storage for medications, cabinet for cleaning supplies and cabinets for residents and staff files were observed with locks. Facility has working land line phone and internet service.

First aid kit inspected and observed complete with manual. Fire extinguisher was observed fully charge with tag showed serviced 12/05/24. Facility has carbon monoxide and smoke detectors that were tested and observed functional. Hot water temperature was tested and measured at 108.6 degrees Fahrenheit.

Applicants currently operates other Adult Residential Facilities (ARFs). Component III training is being waived.

-at 11:22 am, part of the backyard with uneven ground surface.