Facility Evaluation Report

Licensing Program Analyst (LPA), Christine Wong, conducted an announced visit to the facility for purpose of a pre-licensing evaluation and met with Administrator Eileen Singh

An application was submitted to CCLD on 7/8/2022 , for initial license for an Adult Residential Facility for age range 18 through 49. The requested capacity is for 4 ambulatory only.

Facility is a 4 bedroom, 2 bathroom, living room, dining area, kitchen, single story house with 2 cars attached garage. The client bedrooms are spacious and will easily accommodate the client's furnishings. The passageways, walkways, driveway and patio are free from obstructions. The the front, back and side areas of free of hazards.

Bedroom#1 to #4 has one bed, one chair, one night stand, one dresser, closet and one lamp in addition to overhead lighting.

All two bathrooms have a working toilet, wash basin, bath-tub/shower.