Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an announced pre-licensed visit and met with Administrator Queen Kelli Droughn and Licensee Lawrence Droughn for the purpose of conducting a Pre-Licensing Inspection / Component III visit. This Pre-Licensing Inspection is due to a change of ownership.

The facility has an approved fire clearance to be licensed to serve five (5) ambulatory clients. The facility is a single-story home located in a residential area in Pasadena, Ca. A tour of the facility includes: living room, dining room, kitchen, 3 bedrooms, 1 bathrooms, detached garage, front yard and back yard.

The physical plant was toured inside and out alongside Queen and Lawrence Droughn.

· There is a locked storage area that is centrally located for medication.

· Cleaning supplies are kept separate from food and located in a locked cabinet.

· Facility walls, ceilings, floors, window screens and areas around the facility are clean and in good repair.

· Fire extinguishers and smoke detectors operate properly.

· Doors and passageways are free of obstruction.

· There are no pools/bodies of water at the facility.

· Facility does not have firearms on premises.