Facility Evaluation Report

Licensing Program Analyst (LPA), Angelica Rea, conducted an announced visit to the facility for the purpose of a pre-licensing evaluation. Also present was Diana Gonzalez, House Manager. An application was submitted to CCLD on 05/05/2022, for Initial license for a Adult Residential Facility to serve age range 18 through 59. The requested capacity is for 4 ambulatory residents.

The facility is a single story 4 bedroom, 2 bathroom home located in a residential neighborhood.

LPA observed the following: The bedroom(s) have beds, including, blankets, sheets, mattress pads, bedspreads/comforters. There is sufficient light for reading, with ample storage space. LPA viewed the following will be locked and inaccessible; medications, hygiene supplies, cleaning solutions, toxins, knives, staff and client files, and client P & I. Kitchen has necessary supplies and equipment, including refrigerator, stove, dishwasher, microwave, pots/pans, utensils, cups, plates. The bathroom was reviewed and found to meet regulations. Hot water temperature measured at 112.2 degrees F. The dining and living room have adequate seating space. Garage has a laundry area, which has working washer and dryer. Sufficient hygiene & linen supplies were observed. All exits and passageways are free of obstructions. LPA viewed first aid kit, and fire extinguisher. Smoke detector(s)/ Carbon Monoxide detector(s) were tested and found to be operational. Licensee reports no guns or weapons in the home. There are no bodies of water. Backyard has a covered patio and patio furniture. Emergency disaster plan, personal rights, emergency phone numbers, and complaint procedures were observed to be posted in the entry way.