Facility Evaluation Report

Licensing Program Analyst (LPA), Stephanie Torres, conducted an announced pre-licensing inspection at the facility. The LPA met with Licensees, Matthew Alvarado. There are currently four (4) clients in care.

Application : The application is for an Adult Residential Facility (ARF), Change of Ownership. The fire clearance has been granted for four (4) ambulatory clients.

Buildings and Grounds: The home is composed of four (4) client bedrooms, one (1) staff room, one (1) office, two (2) sitting rooms, three (3) full bathrooms, a laundry area, kitchen and dining areas, garage, and front/back yard areas. The interior/exterior walkways of the home were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were tested and operable. There are no pools or other bodies of water located at the home. According to Alvarado, there are no weapons stored in the home. Rooms, furniture, beds, mattresses appeared to be in good repair. The bedrooms are fully furnished, and privacy is available. The dining and living room areas are clutter free and in good condition. Outdoor areas had sufficient room for activities and leisure. A washing machine and dryer are available and in working order.

Storage and Supplies: Medications will be stored in a locked cabinet near the kitchen area, inaccessible to any unauthorized individuals. Secured areas are available for facility files and client files. The first aid kit was observed to be available and complete. Cleaning supplies will be stored away in a secured kitchen cabinet. Linens, and equipment appeared to be in good repair and sufficient for the approved census. A fire extinguisher was available and fully charged.

Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and stove are in working order. Sharps will be stored in a locked kitchen cabinet, available only to authorized individuals.