Facility Evaluation Report

At 10:30 a.m., Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an announced Pre-licensing inspection. Upon arrival LPA met with applicant Thomas Roberson. The facility will be licensed as an Adult Residential Facility. Facility is a single-story house with four (4) bedrooms and two (2) bathrooms. Facility has been approved for a capacity for six (6) clients.

The physical plant was toured inside and out at 10: 45 a.m. and LPA observed the following:

Common Area: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The facility maintains a comfortable temperature at 74 degrees F, which meet regulations. The air conditioner is operational. No firearms observed or will be maintained on the premises. The smoke alarm and carbon monoxide detector are dual functioning and hard wired throughout the facility. The fire extinguisher was observed to be full and a purchase date of 3/31/22. Facility maintains a telephone landline that was tested and observed to be operational.

Kitchen Area: LPA observed the kitchen area to be in good repair and sanitary. A start up amount of perishable and non-perishable foods were observed. A cabinet with a lock will be used to keep sharps locked and inaccessible to clients in care. Trash containers have a tight-fitting lid.

Bedrooms: Facility has four (4) bedrooms, two (2) of which are shared bedrooms. All bedrooms were toured and were observed with the appropriate furniture and bedding and sufficient lighting was observed. There is a designated staff room located in the hallway that will be used for an office space. Medications and files will be kept in a locked closet located in the hallway. (cont. on LIC809-C)