Facility Evaluation Report

Licensing Program Analyst (LPA) Sarah Benson made a Pre-licensing Inspection on today's date of 12/27/2023 and met with Executive Director Melissa Aggi. This is a Change of Ownership pre-licensing, there are currently sixteen) (16) clients at day program.

LPA toured the facility inside and out to ensure the health and safety of residents and staff present. LPA evaluated the facility based upon the Adult Residential Facility Pre-Licensing Self Certification worksheet.

LPA toured Physical Plant, Food Service, Common Areas, Bathrooms, Kitchen and Medication Storage. Fire extinguishers, smoke detectors, and fire sprinklers were observed. Kitchen was clean and in good repair, LPA observed proper storage area for food. LPA observed locked areas where items such as but not limited to, knives, medication, and toxins are stored inaccessible to residents. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. LPA reviewed Emergency and Disaster Preparedness Binder. Last fire drill was 10-19-23.

Based on observation and interview, it appears the facility is ready to be licensed. LPA Benson will contact Central Application Unit about this inspection.

Requirements for pre-licensing inspection met.

Exit interview conducted and a copy of the report given to facility representative.