Facility Evaluation Report

On 1/15/2025 at 9:25 a.m., Licensing Program Analyst (LPA) Evelin Rios arrived to the facility to conduct an unannounced annual inspection. LPA met with Leslie Clarkson who granted access. Leslie is the administrator designee, LPA Rios explained the reason for the visit. Administrator will not be able to meet with LPA at the facility, Leslie is designated to sign today report. This is an Adult Residential Facility (ARF) Level 2 with an approved fire clearance for 4 ambulatory clients.

At approximately 9:40 a.m., LPA along with the administrator designee conducted a physical plant tour of the facility inside and out and the following was observed.

Common Areas: These include the living area and dining area . LPA observed dining and living room furniture in good repair. Dining and living room furniture sits the capacity of the facility. LPA observed two (2) fire extinguishers fully charged and two carbon monoxide detectors that were tested and observed operational.

Bedrooms: There are four (4) client bedrooms for single use. LPA observed bedrooms to be properly furnished with a bed, linens, night stand, chair, chest of drawers, closet, and adequate lighting.

Bathroom: There are three (3) client bathrooms one (1) is located in a client's bedroom for private use. The bathrooms contained hand soap, paper towels, toilet paper and trash bins. Water temperature was taken in one (1) bathroom downstairs and measured at 119.4 degrees F. within regulation. LPA observed night lights leading to the bathrooms.

Laundry Room: LPA observed the laundry room on the second floor accessible to clients. The laundry room contains a washer and dryer that were observed functional. (Continue on LIC809-C)