Facility Evaluation Report

On 12/04/2024 11:00AM Licensing Program Analyst (LPA) de la Cerra arrived at the facility listed above to conduct an unannounced annual inspection. LPA was greeted by caregiver, Svetlana. Administrator was contacted and arrived soon after. LPA explained to the administrator the reason for the visit.

This home is designed to operate as a Level 2 Adult Residential Facility (ARF), this facility's fire clearance was approved on 8/13/2021 for four (4) ambulatory developmentally disabled clients.

At approximately 11:30am LPA and the administrator toured the facility, and the following was observed. The facility is a single-story building with an attached garage.The facility maintains a comfortable temperature at 72°F. LPA observed two (2) fire extinguishers, both fully charged and inspected on 5/11/2024. LPA observed the required facility postings by the entrance hallway. The facility provides a telephone for clients to use and LPA observed the phone to be operational.

LPA observed dual smoke/carbon monoxide detectors that are hard wired and interconnected. Smoke detector was tested and was observed to function properly.

Kitchen Area: The main area kitchen where clients’ meals are prepared was observed to be clean. Appliances were clean and functional. LPA observed a sufficient amount of 2-day perishable and 7-day non-perishable supply of food and were properly stored. LPA observed knives kept in a locked cabinet, inaccessible to clients. Trash bin has a covered lid. The dining table by the kitchen area had the appropriate table and chairs to accommodate the clients at this facility.

Common Areas: The facility has two(2)separate seating areas available for client use. Both areas rooms clean and properly furnished. No obstructions and or tripping hazards throughout the common area.