Facility Evaluation Report

Licensing Program Analysts (LPAs) Nune Margaryan and Blanca Gonzalez conducted an announced visit to the facility for the purpose of a pre-licensing evaluation. LPAs met with Licensee Olaide Osibogun who assist with the visit. An application was received on 09/13/24, for Initial License # 198603811 Adult Resident Facility to serve 4 ambulatory clients in the age range of 18 through 59. There are currently no individuals residing at the facility. LPAs used the inspection tool and the pre-licensing checklist for ARF during this visit. The facility is a one-story house located in a residential area which consist of a living room, dining area, kitchen, 4 bedrooms (one is master bedroom), 2 bathrooms (one is master bathroom). There is a detached garage at the front of facility and office attached to the garage with separate entrance. Facility has a washer and dryer that are fully operational located in the hallway. Dining area has a table and sufficient seating. Living room is fully furnished for client use. There is also fireplace that has a covering that makes it inaccessible to clients. The garage will be used as storage. The client bedrooms are spacious and will easily accommodate the client's furnishings. Passageways, walkways, driveway are free of obstructions. Front, back and side areas are free of hazards. There is a shade area set up in the backyard to accommodate (4) clients. The home does not have a pool or any large bodies of water. Bedrooms have all the required furniture such as beds, chairs, dressers, drawers, nightstands. Window screens are in good repair and windows/curtains/blinds are in good repair and operate properly. Bathrooms have working toilets, wash basins, stand up shower. Master bathroom has a jacuzzi and the other bathroom has a bathtub. Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket. Extra beddings observed in the closet located in hallway. Fire Extinguisher is observed in the dining area fully charged.