Facility Evaluation Report

Licensing Program Analyst (LPA), Christine Wong, conducted an announced visit to the facility for purpose of a prelicensing evaluation. With the present of Cristin Nicoletti, Project Manger and Jose Mendoza, Districtg Manger. An application was submitted to CCLD on 01/21/2021, for Initial license for a Adult Residential Facility to serve age range 18 through 59. The requested capacity is for 3 ambulatory and 1 non-ambulatory.

The facility is a single story house and located in a residential neighborhood area. Facility is a 4 bedrooms, 2 bathrooms, kitchen, living room, staff office, dining area and client's computer area. The client bedrooms are spacious and will easily accommodate the client's furnishings. There is a huge back yard with a covered and shaded area for table and chairs. The passageways, walkways, driveway are free from obstructions. The front, back and side areas of free of hazards and maintained in a good condition.

The facility has a delayed egress with key and code to enter into the facility and LPA observed and its operational

There is one bed in each client's bedroom. Bedroom# 4 is for non-ambulatory clients. Each bedroom has one beds, one chairs, one night stand, one dresser, one closet and overhead lighting.

All bathrooms have a working toilet, wash basin and shower. There is bathroom#1 that will accommodate non-ambulatory clients in a wheel chair.