Facility Evaluation Report

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an announced visit to the facility for the purpose of a Pre-Licensing evaluation. LPA met with Administrator, Christopher Blum. An initial application to operate a Social Rehabilitation facility (SRF) was submitted to the Central Applications Bureau (CAB) on 11/28/2023 for a total capacity of fifteen (15) residents. Fire clearance was granted on 11/14/2023. LPA Kathleen Banrasavong observed the following:

Facility is a one-story building with seven (7) client resident’s bedrooms, which will room two clients and one (1) single client bedroom, six (6) women resident’s bathrooms, living room, dining area and kitchen. There is not a garage. There is not a pool. There was an outside storage area to the west side of the building. There is an outside gate that leads to the northeast side of the building.

Central heating and air conditioning system are installed and operable. The temperature for the building is controlled in a centrally stored area within the whole building.

Each resident bedroom #12, #13, #14, #15, #18, #19, #20, #21 were in good repair. All eight (8) bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable centrally located smoke alarm for the entire building, with two alarm pulls and three (3) carbon monoxide alarms.