Facility Evaluation Report

Licensing Program Analysts (LPAs) Dwayne Mason Jr. and Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPAs arrived at the facility and were greeted and granted entry by designated Administrator (AD) Miriam Salcedo. An application to operate an Adult Residential Facility (ARF) for (4) capacity, (4) ambulatory, (0) non-ambulatory, and (0) bedridden clients was received by CCL on 3/8/2023.

The facility is a one-story home with three resident bedrooms, one bathroom, living room, kitchen, dining room, sun room, and an attached two car garage. LPAs observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the dining room area. There is a back yard with two exit gates on each side of the house. There is one shaded seating areas in the backyard. LPAs did not observe any obstacles or hazards in the backyard.

All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. LPAs observed all windows were screened.

All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to client and will be stored and locked beneath the kitchen sink.

Medication will be stored in a locked cabinet. First aid kit is stored with the medication. The first aid kit has all the required elements.