Facility Evaluation Report

On 08/02/2023 Licensing Program Manager (LPM) Ulysses Coronel and Licensing Program Analyst (LPA) Socorro Leandro conducted an announced visit to the facility for purpose of a pre-licensing evaluation. Today’s pre-licensing evaluation was conducted with applicant Pamela Broderick.

On 10/10/2022 an application was submitted to CCLD, for Initial license for an Adult Residential Facility to serve adults age range 18 through 59. The requested capacity is for four (4) clients of which 4 may be non-ambulatory clients. The facility consists of an office, 4 client bedrooms,1 activity room, 2 bathrooms, 1 story house.

LPM and LPA conducted a review of the Physical Plant, Bedrooms, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation.

There is a locked centralized storage area for client medications.

Facility is clean, sanitary, and in good repair. Protective devices are in place to include nonskid material on rugs. Indoor and outdoor passageways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. Ramps, open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings.

Client bedrooms are large enough to allow for easy passage and to accommodate furniture and assistive devices such as wheelchairs, walkers, or oxygen equipment. No client bedroom is a passageway to another room, bath or toilet.