Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an announced pre-licensed visit and met with Applicant Sophesias Johnson for the purpose of conducting a Pre-Licensing Inspection / Component III visit. The facility has an approved fire clearance to be licensed to serve four (6) ambulatory only adult clients Ages 18-59. Property has a back ADU, that is not a part of facility and will remain locked and inaccessible to clients. The facility is a single story home: 3 bedrooms, 2 1/2 bathrooms, dining/ living room, backyard and ADU home located in Los Angeles,CA.

The physical plant was toured inside and out alongside with Sophesias Johnson. Pre-Licensed Inspection Tool was used.

· Bedrooms are equipped with one bed, night-stand, chair, sufficient lighting, appropriate closet and drawer space. Facility is licensed for 6, however, there are only 5 beds.

· All beds had the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Mattresses and bedsprings are in good repair.

· Bedrooms are large enough to allow for easy passage between and comfortable for usage of beds and other required items of furniture.

· Sufficient supply of linens available to permit weekly changing and are stored in storage cabinet.

· Sufficient personal hygiene supply available.

· The 2 ½ bathrooms have working toilets/wash basin, and shower. Shower is missing non-slip mat.

· There are enough bath towels, hand towels and wash cloths for all clients.

· Smoke Detectors and Carbon monoxide detectors are interconnected approved in the Fire Clearance.

· Two (2) Fire extinguishers observed and charged.

· Cleaning solutions and sharps are securely locked in kitchen and inaccessible to clients

· Kitchen cabinets, refrigerator/freezer , oven, microwave, dishwasher are in working condition, clean and sanitary.