Facility Evaluation Report

On June 3, 2025 at 2:20pm, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility to conduct an unannounced required 1-Year annual visit using the CARE Inspection Tool. LPA announced self and stated the purpose of the visit to Program Director (PD) Trevor Slaney and was greeted and granted entry. Program Manager (PM) Patrick O’Connell also joined us and was present throughout the visit to assist with the inspection.

This is a Social Rehabilitation Facility (SRF) licensed for a capacity of six ambulatory clients. The facility is a two-story house with three client bedrooms, a medication room, three bathrooms, two living room areas, a kitchen, a dining room area, a laundry room, and attached two car garage.

During today’s visit, LPA observed six clients present and five staff on duty. LPA obtained copies of pertinent documents for clients and staff, including facility records: client/staff rosters, Personnel Record (LIC500), client and staff records.

LPA conducted a tour of the facility with PD Slaney and observed no imminent health and safety issues. During the visit, LPA toured the interior and exterior of the physical plant with PD Slaney and the following was observed: All mandated posters were posted near the entrance. There were no bodies of water or obstructions on the premises. There is a backyard with an exit gate designated as an emergency exit. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard.