Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. LPA met with applicant, Vivien Owens. An initial application to operate an Adult Residential Facility (ARF) was received by the Central Applications Bureau (CAB) on 1/9/2024 for a total capacity of four (4) ambulatory clients. Fire Clearance was granted for four (4) ambulatory clients on 2/5/2024. LPA Shaw Ross observed the following:

Facility was a one story house with four (4) client bedrooms, two (2) bathrooms, living room, family room, dining area and kitchen. There was an attached three car garage in the front of the house.

Central heating and air conditioning system installed with a central panel located in the hallway to control entire house.

Each client bedroom will accommodate any ambulatory client. All client bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm/carbon monoxide detector.

Both bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper, and soap. LPA tested water temperatures in client bathrooms. LPA verified water temperatures were measured at 108 and 110 degrees Fahrenheit.

An adequate supply of dishes, glasses, utensils, pots and pans were observed. Cleaning supplies and knives/sharp instruments were secured in a locked box and cabinet. There was adequate room for food storage. LPA observed the stove, refrigerator/freezer to be operational and in good working condition.