Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an announced visit with applicant(s) John Wilson, Chinenye Udoh and Ifunanya Ifeacho . The purpose of the visit was to conduct the Pre-Licensing for the facility listed above.

An application was submitted to CCLD on 12/30/2022, for an Initial License of an Adult Residential Facility . Application requested a capacity of 4 residents and has an approved fire clearance for up to (4) Ambulatory residents.

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, sink/faucet, locked storage cabinet for cleaning supplies, (4) resident rooms, (2) bathrooms for residents of which (1) is a private bathroom attached to room #4; bathrooms with shower, toilet and washbasin. A back yard with shaded area and seating for resident use. A connected garage inaccessible to residents for storage, and washer and dryer. The residence is equipped with central air and heating.

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 ambulatory residents. All bedrooms are equipped with: overhead lighting, chair, night stand, lamp in addition to overhead lighting, large drawer, and closet space, and beds for each resident. Bathrooms: Bathrooms have a working toilet, wash basin, shower, grab bars and nonskid mats. Linens & Hygiene Supplies: Required linen/supplies which include, pillowcase, fitted sheet, blankets, bedspreads. Mattress pads were observed. Emergency Phone Numbers, Exit Plan & Menu: Facility has a working phone landline. There is (1) cordless phone for residents use. Fire Extinguisher fully charged and up to date...