Facility Evaluation Report

Licensing Program Analyst (LPA) Leizl de la Cerra conducted a Component III and Pre-Licensing Inspection for a Change in Ownership with the applicant representatives, Briana Windell, Director of Residential Services, Tetyana Wynters VP of Member Services and the facility administrator, Mannie George. The Change in Ownership (CHOW) application to operate an Adult Residential Facility (ARF) was received by Community Care Licensing (CCL) on July 29, 2024.

T his is a one story facility that consist of 4 client bedrooms 3 bathrooms - 2 of the bathrooms designated for client use and 1 bathroom designated for staff use. The facility is currently occupying six (06) residents.

The smoke alarm and carbon monoxide detector are dual and interconnected, they were tested and observed to be operational . The facility has two fully charged fire extinguishers, one located in the kitchen and the other one located in the bedroom hallway. A fire clearance was approved on September 18, 2024. A complete first aid kit was observed. LPA observed the required facility postings.

A physical plant tour was conducted at 10:45am, LPA was accompanied by both applicant representatives and the facility administrator, and the following was observed :

KITCHEN: The facility has a kitchen area that is equipped with a stove, refrigerator and microwave oven. There was an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6) clients. Knives were observed locked in a kitchen drawer. Cleaning solutions were observed inside a locked cabinet underneath the kitchen sink.

BEDROOMS: There are four (4) bedrooms designated for client use. The client rooms were furnished with the following, beds with linens, night stands, desk lamps, chairs, and dressers. The bedrooms have sufficient lighting and closet space.