Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Reed conducted an announced pre-licensing visit and was greeted by Residential Director Matthew Gomer and Designated Administrator Kanan Chapman. Program Director Anne Conner arrived at approximately 1:15pm. Prior to being granted entry into the facility, staff took LPA's temperature and provided a sign in sheet.

The initial application to operate a Social Rehabilitation Center was submitted to the Central Applications Bureau (CAB) on 2/28/22 for a capacity of 6 ambulatory residents. A tour of the physical plant was conducted inside and out with Mr. Gomer and Mr. Chapman. The following was observed:

There were a total of 4 residents in care participating in group activities and a total of 3 staff on duty. Human resources will complete the associations via Guardian.

Structure: Facility is a single story house. On 3/16/22, the Orange County Fire Authority granted a fire clearance for a capacity of 6 ambulatory residents. There are a total of 3 shared bedrooms, 5 bathrooms and the master bedroom is used for therapy sessions. There are no single rooms. There is also a direct care office and a counseling and therapist office.

Bedrooms: All three bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept hazard free.

Bathrooms: The bathrooms were observed to be in good repair, toilets were operational, and non-skid floor mats were provided. Water temperature in restrooms was measured to be at 118 degrees Fahrenheit and hand washing signs were observed along with soap and paper towels.