Facility Evaluation Report

Licensing Program Analysts (LPAs) Ashley Smith and Elsie Campos arrived at the facility announced at 9:05 a.m. to conduct a pre-licensing inspection. The LPAs met with applicant Aaron Barsalou. The home has the capacity for six ambulatory clients. The fire clearance was granted on 09/08/2021; in which rooms were cleared for ambulatory clients only.

The LPAs toured the physical plant areas inside and outside with applicants to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

BEDROOMS : Whereas the facility has six (6) rooms, the facility has designated three (3) shared bedrooms for clients. All rooms are set up with beds, nightstands, lamps, chests of drawers and closet space. Client Room #1 has a direct exit to the outside. Client Room #2 and Client Room #3 are located upstairs. Client Room #3 has a direct connection to a small balcony upstairs. Client Room #3 has a fireplace, which is inoperable. Lighting in the rooms appeared adequate.

BATHROOMS : In total, there are five full bathrooms and one-half bathroom. Three out of the three client rooms have an attached full bathroom. The client tubs and showers are equipped with nonskid surfaces.

COMMON AREA: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. The facility smoke alarm system is hard wired; the smoke detectors were tested at 9:37 a.m. and were operable at the time of the visit. There are six fully charged fire extinguishers. There is a functioning telephone on the premises.

Emergency exiting plans/sketch are posted throughout the facility. Other required postings are posted in the laundry room; the LPAs advised the applicant to place the required postings near the entry into the facility.