Facility Evaluation Report

234th Home, Carson11/05/2021Licence 198320206

Capacity4
Census0
Date signed11/05/2021 09:11:22 PM
The inspector’s account

On 11/05/21, Licensing Program Analysts (LPAs) Ernand Dabuet and Ngozi Nwaokoro conducted an announced visit to this home. LPA was greeted by applicant Verretta Boatner and explained the purpose of today’s pre-licensing inspection visit.

An application was submitted to CCLD on 10/06/21. In the initial license application for a Residential Facility for Adults, ages ranging from 18-59 years old. The applicant requested for a capacity of four (4) individuals, of which two (2) ambulatory, two (2) non-ambulatory, and zero (0) bedridden.

The home is a four (4) bedroom, two (2) bathroom, one-story home in a residential neighborhood. The home is a beige color structure that includes a living, dining, kitchen, and laundry area. The living area included sofas and a table. The kitchen has laminate countertops with a refrigerator and stove. The rear exterior is fenced throughout. The passageways, walkways, and steps are free from obstructions. The patio is covered with a table and four (4) chairs and an umbrella for shade.

The facility had four (4) bedrooms for clients. There are two (2) bedrooms for ambulatory clients and (2) two bedrooms for non-ambulatory clients. All rooms include (1) a full-size bed, one (1) chair, one (1) nightstand, one (1) table lamp. All bedrooms are equipped with ceiling fans with lights. All rooms had a dresser, which complies with the requirement of 8 cubic feet of space. All rooms had closets for ample storage.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction