Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an announced Prelicensing visit to complete Component III orientation. This is a new application for and Adult Residential Facility (ARF) Level 4i. LPA met with the applicant Audrey Hughes. Fire clearance inspection was approved on 02/21/24 with the approved capacity for four (4) ambulatory clients.

A tour of the physical plant inside and out was conducted with Audrey Hughes and Jer'Marcus Dumas at approximately 10:00 a.m.

Common Areas: These included the den, dining area and living area. The common areas were checked for cleanliness and furniture was checked for functionality. All areas were clean, sanitary and furniture was in good repair. In the den, LPA observed board games and sufficient space for activities. Dining table and couches sit the capacity of the facility. The facility was kept at a comfortable temperature.

Bedrooms: LPA inspected four (4) client bedrooms. LPA observed bedrooms to be properly furnished and had adequate lighting. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress covers, and blankets. Bedroom also stored sufficient amounts of personal hygiene supplies.

Bathrooms: LPA observed all two and half bathrooms to be clean, properly supplied with toilet paper, hand soup, paper towels and trash bins with lids. LPA observed bathrooms had functional fixtures.

Smoke detectors and Carbon Monoxide detectors were tested and observed to be functioning properly. Two (2) Fire extinguishers were fully charged and were purchased on 02/19/24. (continued to LIC 809-C)