Facility Evaluation Report

This is a Pre-licensing and this visit is to correct a previously completed report. See amended LIC809 report.

On 2/19/25, at around 10:30 AM, Licensing Program Analysts (LPAs) Angelica Segovia and Abeye Duguma conducted an announced Pre-licensing visit. LPAs met with Administrator Margaret Kayiira.

An Initial license application to operate an Adult Residential Facility (ARF) was submitted on 07/15/2024. The requested capacity is for four (4) ambulatory clients. Fire clearance was approved on 07/05/2024.

LPAs conducted a physical plant tour and the following was noted:

Structure: The facility is a single-story building with four (4) bedrooms and three (3) bathrooms. One (1) room is designated staff room only.

Entrance: There is only one (1) entrance being utilized. Required postings such as: Facility Sketch, House Rules, and Rights of Individuals with Developmental Disabilities were observed immediately upon entrance.

Common Areas: These include both living room and dining room. All common areas were observed to be neat, clean, and organized. All common areas were properly furnished and in good repair. The facility maintains a comfortable temperature of sixty-one (61) degrees. No firearms observed or will be maintained on the premises.

Clients/staff files: Client and staff files will be kept in locked staff room inaccessible to clients.

Kitchen: Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods will be purchased prior to clients’ arrival. LPAs observed sufficient supplies of dishes, cups, and silverware readily available for the clients upon arrival. Working stove and refrigerator observed and in proper condition.