Facility Evaluation Report

Licensing Program Analyst (LPA) Elecia Weathersby conducted an in person announced visit to the facility for purpose of a Pre-Licensing evaluation. An initial application to operate an Adult Residential Facility was submitted to the Central Applications Unit (CAU) for a total capacity of 4 ambulatory residents and 0 bedridden residents. Fire Clearance was granted 07/19/2021. LPA Weathersby observed the following:

No residents currently occupy the property. Licensee currently occupies property.

Structure: Facility was a single-story house with four (4) resident bedrooms with an on suite half bath (Walk in shower only), and one other resident bathroom (Full), living room, dining area, and kitchen area.

Heating/Cooling System: Central heating and air conditioning systems, set at 73 degrees upon inspection.

Bedrooms: Each resident bedroom will accommodate 1 ambulatory client. All bedrooms were adequately furnished with bed, chair, closets, appropriate linens, adequate lighting, and an operational smoke alarm.

Bathrooms: Bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper, paper towels and toiletries. Water temperature measured by LPA Weathersby read between 105 F and 120 F.

Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, were observed. Cleaning supplies and knives/sharp instruments were secured in a locked cabinet and drawer. There was adequate room for food storage. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals.

Living/Family room: Furnished with safe and adequate seating and furnishings. All items appear to be in good repair.

Linens and Hygiene Supplies: An adequate supply of hygiene supplies noted.