Facility Evaluation Report

Licensing Program Analysts (LPA) Jade Jordan, made an announced visit, and met with the Applicant/ Administrator Dawn Michelle Thompson, and Virginia " Ginny" Dutile to conduct a Pre-Licensing evaluation on Thursday September 09th, 2021, at 10:00 am.

An application was submitted to Community Care Licensing Department (CCLD) on 02/17/2021 for an initial application to serve Individuals over ages 60 years and above. The requested capacity is for six (6) of which Five (5) can bed ridden clients, and one (1) Non -ambulatory client. Structure: Facility is a one story family home with six (6) bedrooms, (2) full bathrooms, and 1 half (1/2) bathroom. There is an open spaced living room, den, and kitchen. Washer/Dryer appliances are located in storage space located to the right side of the kitchen. A three (3) car garage is located in the front of the property, and will be used for storage/ office space , and Physical therapy inaccessible to residents. Front yard landscape under construction during the time of visit. Bedroom Residents: There shall be no more than two residents per bedrooms. Bedrooms #1- 6, are private Bedrooms, and #2-6 are for (5) bedridden clients. Bedrooms are equipped with one bed, night-stand, chair, and overhead lightning. Bedroom 1-3 are towards the front left side of the house, and bedroom 4 -5 are located in the left back side of the house, bedroom # 6 is located on the right backside of the house towards the den.