Facility Evaluation Report

On 08/08/2024 at 8:57 Am Licensing Program Analyst (LPA) Hollie Enriquez and Licensing Program Manager (LPM) Ulysses Coronel conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA and LPM met with applicant Marlisha Youngblood.

On 03/01/2024 an application was submitted to CCLD, for Initial license for an Adult Residential Facility to serve adults with Developmental Disabilities aging in range from 18 through 59 years old. The requested capacity is for six (6) clients- ambulatory only. The facility is a three (3) bedroom, one (1) bathroom, single-story house. Fire Clearance for a capacity of six (6) ambulatory individuals with no special conditions was approved on 06/04/2024. Administrator indicated submitting a request today to decrease capacity to four (4) residents from six (6).

LPA Enriquez and LPM Coronel 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.