Facility Evaluation Report

On 11/01/22 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an announced Pre-licensing Inspection. Upon arrival, LPA met with Administrator Tony Horne. This is an application for an Adult Residential Facility and has been approved for a total capacity of four (4) clients. Fire clearance has approved bedrooms three (3) and for four (4) for ambulatory clients. The facility is a two-story home with three (3) bedrooms and three (3) bathrooms.

Living Room/Dinning Area: LPA observed the living room and furniture to be clean and in good repair. No firearms observed or will be maintained on the premises. Facility will always maintain a land line in the facility for clients use.

Den: Den has a fireplace with appropriate covering. The facility maintains a comfortable temperature of 71 degrees F and has a functional air conditioner.

Kitchen: LPA observed the kitchen area to be clean and clutter free. LPA observed appliances to be in good repair. LPA observed a startup of food for two (2) day perishable and seven (7) days non-perishable. Sharps and where medication will be stored were observed to be locked and inaccessible to residents in kitchen pantry. Trash can contain a tight-fitting lid. Appropriate plates and cups were observed. No chemicals will be stored in the kitchen area. LPA observed the dining area to be clean and in good repair. First aid kit was observed with all the appropriate requirements. The fire extinguisher was observed to be with a full charge.

Bedrooms: Facility has three (3) bedrooms of which all will be used for clients. One (1) out of the three (3) bedrooms will be a shared and two (2) out of the three (3) bedroom will be for single use. All bedrooms were toured and observed with appropriate furniture, bedding and lighting. The smoke alarm and carbon monoxide detector were operational and tested at 10:40 a.m.