Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian conducted a pre-licensing visit to the above noted facility. The LPA met with applicants, Jessica Breton, Paul Figueroa and Janet Hamm-Tuverson. This is a new facility. The facility is a two-story home. At 10 a.m., a physical plant tour was conducted inside and out. Fire clearance was approved 12/20/2024 for six (6) ambulatory clients only.

First Floor: The facility has three (3) bedrooms, all of which are shared. All client rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box comfortable mattress; includes, linens, pillowcases, blanket and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture. There are no staff rooms – ‘awake night staff required’. All rooms were free of odors. All window screens were clean and maintained in good repair. There is one (1) bathroom in the hallway for client use (Room #1 and Room #2). Room #3 has a shared bathroom in room. The client bathrooms have a shower with non-skid materials. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Kitchen area observed clean with operable appliances available for use. Fire extinguisher observed in the kitchen with service tag dated 10/3/2024. Common areas were furnished appropriately for clients use; activities available for clients use. Garage is accessible from the inside of the home; observed locked during visit; hygiene supplies, emergency food, water and PPE supplies are stored in the garage. Smoke/Carbon monoxide detector tested/operable. Active/working phone designated for facility use. Second Floor: Consisted of various office spaces and two therapy rooms for (group/private) sessions. There are three restrooms upstairs which were clean and operable; hot temperature tested within the range of 105.F and 120.F. Client and staff records will be stored in the locked office; medications will be centrally stored in the medication room/therapist station. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. (Continue to LIC809c)