Facility Evaluation Report

On 2/13/23 Licensing Program Analyst (LPM) Ulysses Coronel and (LPAs) Antonine Richard and David Espana, conducted a Pre-Licensing visit evaluation. Today’s pre-licensing evaluation was conducted with applicant Clementine Wallace.

On 03/22/22 an application was submitted to CCLD, for Initial license for an Adult Residential Facility to serve adults age range 18 through 59. The requested capacity is for (2) clients of which (0) may be non -Ambulatory. The facility is a 3 bedrooms, 2 bathrooms, 1 story house.

LPAs and LPM conducted a review of the Physical Plant, Bedrooms, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation.

There is no locked centralized storage area for client medications.

Facility is clean, sanitary, and in good repair. Protective devices are in place to include nonslip material on rugs. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstruction. All window screens are clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. Fireplaces and open-faced heaters are accessible to clients. Stairways, inclines, ramps, open porches, and areas of potential hazard are well-lit. Fire Alarms and Smoke alarms operate properly. Carbon monoxide detectors operate properly.