Facility Evaluation Report

On 5/07/2025, at approximately 10:00 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an announced Pre-licensing visit. LPA met with Licensee Florence Ninsiima.

An application was submitted to Community Care Licensing Division-CCLD on 03/13/2025, Initial license for an Adult Residential Facilities (ARF). The requested capacity is for four (4) clients of which one (1) can be ambulatory and three (3) non-ambulatory. The fire clearance was approved on 03/21/2025.

Structure: The facility is a single-story building with four (4) bedrooms and two (2) bathrooms. There will no designated staff room, only one (1) designated staff office.

Entrance: Upon entrance, required postings such as: Personal Rights Adult Residential Facilities, Facility Sketch, and See Something Say Something were observed.

Common Areas: The living rooms and dining room were observed to be neat, clean, and organized with sufficient seating for both clients and staff. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature of sixty-seven (67) degrees. No firearms were observed or will be maintained on the premises. LPA observed a working telephone.

Client/staff files: The client and staff files will be kept in the staff office. The files will be kept in a locked cabinet inaccessible to clients. LPA observed a complete First-aid kit not limited to tweezers, bandages, digital thermometer, and scissors.