Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPA met with Licensee Mitra Dixon. An application to operate an Adult Residential Facility (ARF) for (6) capacity, (4) ambulatory, (2) non-ambulatory, and (0) bedridden clients was received by CCL on August 21, 2023.

The facility is a one-story house with four client bedrooms, two bathrooms, two living room areas, two dining areas, a kitchen, and attached two car garage. LPA observed the See Something, Say Something poster (PUB 475) in the facility posted in the entranceway. There is a backyard with a designated exit gate on one side of the house. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard.

All client bedrooms had the required furnishings. LPA observed all beds had linens and blankets.

All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients and will be stored and locked in the storage cabinet underneath the kitchen sink.

Records will be kept in a locked cabinet.