Facility Evaluation Report

On 07/11/24, at 8:06 am Licensing Program Analyst (LPA), David España conducted an unannounced annual visit using the full CAREs tool. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA España was met by Staff 3 and the purpose of today’s visit was explained. The Adult Residential Facility serves Developmentally Disabled Adults for ages 18 to 59 years. The requested capacity is for 6 clients, 6 ambulatory. Facility has a fire clearance for 6 ambulatory clients only. Facility is a 3-client bedroom, 2- bathroom, 1 one-story house with an outdoor shaded area in the back yard. The client bedrooms are spacious and easily accommodate the client's furnishings. There is a back yard which contains a table and 6 chairs as well as a large tree for shade. Outdoor passageways, walkways, driveways, steps, and patios are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. All three bedrooms have two beds, two chairs, overhead lighting, closets, and dressers. All drawers comply with the requirement of 8 cubic feet of space. There were no designated staff bedrooms observed. Bathrooms have working toilets, wash basins and shower/bathtub. Continued on 809-C