Facility Evaluation Report

On 02/04/2022 Licensing Program Analyst (LPA) Ulysses Coronel and LPA Jeremiah Randle conducted an announced visit to the facility for purpose of a pre-licensing evaluation. Today’s pre-licensing evaluation was conducted with applicant Krista Lewis.

On 12/09/2021 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 6 ambulatory clients. The facility is a 1 story house located in a residential neighborhood and consists 3 bedrooms, 2 bathrooms, living room, kitchen, attached garage and backyard with a covered patio.

LPAs Coronel and Randle 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 a 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 obstructions. All window screens are clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. Fireplaces and open-faced heaters are inaccessible to clients. Stairways, inclines, ramps, open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. Fire Alarms and Smoke alarms operate properly. Carbon monoxide detectors operate properly.