Facility Evaluation Report

Licensing Program Analyst (LPA) Troy Agard conducted an announced visit to the above facility for purpose of a pre-licensing evaluation / Change in location. LPA met with Administrator, Melissa Smith and explained the purpose of the visit. During the inspection LPA toured the inside and outside of the facility and verified the address of the location.

An application was submitted to Community Care Licensing Division (CCLD) on 05/11/2021 for a change in location for a Social Rehabilitation Facility. The total requested capacity is for 6 clients. Facility has a fire clearance dated on 10/08/2021 for 6 ambulatory clients only.

Structure: Facility is a 2-story house with basement. The facility has 5 client-bedrooms, (1 shared master for 2 clients, 4 single rooms). Basement has a media room (with evacuation exit), utility closet and laundry room (with evacuation exit). 1 st floor contains a foyer, 4 baths, living room, dining room, staff office, kitchen, chef’s kitchen, 2 group rooms, 1 therapy room, a covered patio and a 2-car garage converted into a fitness center. 2 nd floor contains 5 bedrooms, 1 office, 6 baths, linen, laundry nook and storage closets. The master suite has a gated balcony. The 2 nd floor bedroom in the rear has an evacuation exit. The client bedrooms are spacious and easily accommodate the client's furnishings. There is a back yard with 2 shaded patio area and chairs. There is an additional sitting area on the front lawn. Shaded areas have sufficient tables and chairs for clients. Outdoor passageways, walkways, driveways, steps and patios are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. Facility has a pool house with one bathroom that is used as an Administrative space.

Bedrooms: All 5 client bedrooms have a chair, night stands, over-head lighting, dressers and/or closets. The closets and drawers comply with the requirement of 8 cubic feet of space.