Facility Evaluation Report

On 3/1/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an announced visit to this home. LPA was greeted by Applicant Pamela Broderick and explained the purpose of today’s pre-licensing inspection visit.

An application was submitted to CCLD on 9/22/2021 for a Change of Ownership application for an Adult Residential Facility. The applicant requested a capacity of five (5) individuals.

The facility is a one-story house with a basement located in a residential neighborhood and consists of three (3) bedrooms, three (3) bathrooms and a two (2) car garage on the first floor; kitchen, living room, dining room and a patio; the basement consists of a bathroom and office/storage. The facility is clean, sanitary, and in good repair. Protective devices are in place to include non-slip material on rugs. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. The facility temperature is between 68 degrees and 85 degrees.

The facility has three (3) bedrooms for ambulatory clients. All rooms include (1) a bed, one (1) chair, one (1) nightstand, one (1) table lamp. No client bedroom is a passageway to another room, bath, or toilet.

There is one bedroom with an ensuite bathroom for staff.

The home has two (2) bathrooms on the first floor for residents, a bathroom in the staff bedroom and one bathroom in the basement. All resident bathrooms have a working toilet, washbasin, and shower with grab bars and non-skid mats.