Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced case management visit to this facility. The purpose of this visit is to conduct a physical plant inspection of the facility. During this visit LPA conducted a tour of all areas including clients bedrooms with the assistance of the Administrator. While conducting a tour LPA observed the facility to be clean and in a good repair. Outside of physical plant was also clean and in a good repair. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded outside dining area and seating/ resting area for the clients located in the back patio.

The facility is a single-story home with 3 client’s bedrooms with 1 bed in each room and all required furniture , 2 bathrooms, living room, dining room and living area, kitchen, administrator office, office area for staff, laundry closet, attached garage. Administrator said that one of bedroom previously used as a activity room. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed.

An exit interview was conducted and copy of this report was given.