Facility Evaluation Report

On March 14, 2023, Licensing Program Analyst (LPA) Felisa Shirley and Licensing Program Manager (LPM) Stephanie Cifuentes met with Administrator/Director Basil Shadfan and conducted an announced visit to the facility for the purpose of a prelicensing evaluation. An application was submitted to CCLD for an Initial license for a Social Rehabilitation Facility. The requested capacity is for six (6) Ambulatory clients from ages 18 to 59 years old.

The facility site is a two-story home in a residential area. A tour of the physical plant and surrounding grounds was conducted and the following observed:

KITCHEN: There were 2 days of perishable and 7 days of nonperishable food. The kitchen was equipped with sufficient dining and cook ware to accommodate a maximum capacity of six (6) clients. Appliances and fixtures appeared to be in good condition and were functional. The hot water delivered at 120.5 F.

BEDROOMS: There were three (3) bedrooms designated for client use, two (2) on the ground floor and 1 on the second floor. All bedrooms were furnished for double occupancy and included all required furnishings, linens and bedding. There were no visible hazards.

BATHROOMS: There are three (3) bathrooms. There are 2 full baths with double sinks and one with one sink. All bathrooms were properly supplied with hygiene items and had functional fixtures.

COMMON AREAS: LPA Shirley observed a living room, dining area, meditation room and activity room. The common areas included furnishing capable of accommodating a maximum capacity of 6 clients. There were no visible hazards.