Facility Evaluation Report

On 08/19/24, at 10:00am, Licensing Program Analyst (LPA), Gina Saucedo, conducted an announced visit to the facility for purpose of a pre-licensing evaluation and met with Antonia Achieng, Administraor.

An application was submitted to Community Care Licensing Division-CCLD on 12/2023, Initial license for a Adult Residential Facility (ARF). The requested capacity is for four (4) ambulatory clients.

Facility is a single-story home. Today's site visit consisted of LPA touring the physical plant at 10:50 AM inside and outside and observed the following:

There is no bedroom designated for staff.

There is a total of four (4) bedrooms and two (2) and half bathrooms. One (1) of the bedrooms has a private bathroom. There is another bathroom in the hallway and a half-bathroom where the washer and dryer are located. All the bedrooms have proper bedding, chairs, nightstands, lamps in addition to overhead lighting. There is an office area on your left-hand entrance of the facility next to the kitchen.