Facility Evaluation Report

Licensing Program Analysts (LPAs) Nune Margaryan and Ashley Calderon conducted an announced visit to the facility for the purpose of a pre-licensing evaluation. LPAs meet with Licensee Jeremy Miller and Administrator Christal Clarke who assist with the visit.

An application was received on 02/01/2022, for Initial License # 198603558 Adult Resident Facility to serve 4 ambulatory and clients in the age range of 18 through 59.

The facility is a two story house located in a residential area which consist of a living room, kitchen, dining area, 4 bedrooms ( 1 - first floor and 3 - second floor.) office, laundry room are located in the attached garage. There is covered sitting area at the front of the house. The client bedrooms are spacious and will easily accommodate the client's furnishings. Passageways, walkways, driveway are free of obstructions. Front, back and side areas are free of hazards. Bedrooms have all the required furniture such as beds, chairs, dressers, drawers, night stands and overhead lighting. Bathrooms have working toilets, wash basins, stand up shower. Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket. Emergency Phone Numbers, Exit Plan & Menu are posted & readily available for review in the office. Fire Extinguishers are observed in the kitchen and upstairs hallway.