Facility Evaluation Report

On 7/11/2024 at 10:00am, Licensing Program Analyst (LPA) L. Hall conducted an announced pre-licensing inspection. LPA met with Jose Nunes, Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for four (4) non-ambulatory clients.

LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a four (4) bedrooms and three (3) bathrooms. No bodies of water observed. There is sufficient lighting around the facility. Clients rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 111.4 degrees Fahrenheit in shared clients' bathroom. Fire extinguisher was last purchased on 6/6/2024. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. Facility inspection matches the sketch that was provided.

*Licensing Program Manager (LPM), H. Humpal gave approval to waive Comp III.*

No Issues were noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required.

Exit interview conducted with Administrator and a copy of this report provided.