Facility Evaluation Report

Licensing Program Analyst (LPA), Angelica Rea conducted an announced visit to the facility for purpose of a Pre-licensing evaluation. Also present at today's visit was Cristin Nicoletti, Project Manager, Jose Mendoza, Regional Director, Jasmin Smith, Assistant Administrator, and Martin Mercado, District Manager. An application was submitted to CCLD on 01/19/2022, for Initial license for a Adult Residential Facility to serve age range 18 through 59. The requested capacity is for 4 non-ambulatory.

The facility is a single story house and located in a residential neighborhood area. Facility is a 4 bedrooms, 3 bathrooms, kitchen, living room, staff office, dining area and Activity Room. The client bedrooms are spacious and will easily accommodate the client's furnishings. The yard has a covered, shaded area for table and chairs. The passageways, walkways, driveway are free from obstructions. The front, back and side areas are free of hazards and maintained in a good condition.

The facility has a delayed egress with key and code to enter into the facility and LPA observed and its operational

There is one bed in each client's bedroom. Each bedroom has one beds, one chairs, one night stand, one dresser, one closet and overhead lighting.

All bathrooms have a working toilet, wash basin and shower.