Facility Evaluation Report

Licensing Program Analysts (LPA) Jose Villalobos conducted an announced visit with Applicant Betty Howard. The purpose of the visit was to conduct the Pre-Licensing visit.

An application was submitted to CCLD on 7/27/2022, for an Initial License of a Adult Residential Facility for ages 18-59 . The requested capacity of 4 clients, (4) ambulatory, (0) non-ambulatory and (0) may be bedridden.

The facility is part of a single story home located in a residential area and contains the following: living room, dining room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, locked storage cabinet for medications and sharps, (4) resident rooms, (3) bathrooms for clients; bathrooms with shower, toilet and washbasin. A back yard with shaded area and seating for client use, area for washer and dryer. The residence is equipped with central air and heating. Home also has an Attached garage for storage.

Accommodations : Adequate accommodations observed throughout facility. Lighting: Sufficient Lighting throughout. Hallway and Doorways: Free and clean of obstruction and debris. Resident Rooms: Bedrooms #1-#4 are for (1) ambulatory client each.. All bedrooms are equipped with: overhead lighting, chair, night stand, lamp in addition to overhead lighting, large drawer, and closet space. Bathrooms: Bathroom #1 is attached to bedroom #1, and bathroom #2 is attached to bedroom #2. Both have a working toilet, wash basin, shower, grab bars and nonskid mats. Bathroom #3 was also observed with a working toilet, wash basin, shower, grab bars and nonskid mats...