Facility Evaluation Report

On 6/12/2024, Licensing Program Analyst (LPA), Janette Romero made an announced visit to conduct a pre-licensing evaluation and met with Applicant, Farhan Rana. An initial application to operate a Adult Residential Facility (ARF) was received by the Centralized Applications Bureau (CAB) on 10/27/2023. Fire Clearance was granted on 3/1/2024 for total capacity of four (4) non-ambulatory clients.

LPA toured the facility with Applicant Rana. During the tour, LPA observed the facility is made up of a one (1) story home with four (4) client bedrooms, two (2) bathrooms, a kitchen, dining room, living room, and attached garage. The facility has a central heating and air conditioning system installed with a central panel located in the hallway to control entire house. Applicant Rana tested one (1) of the smoke alarm/carbon monoxide detectors and LPA observed it to be operational. Client bedrooms are each furnished with a bed, chair, and night stand. Both bathrooms have a working toilet, wash basin and have paper towels, toilet paper, and soap readily available. The hot water temperature in both bathrooms measured at 106- and 109-degrees Fahrenheit. The facility has hygiene kits available for future clients. LPA toured the kitchen and observed the knives and sharp instruments will be stored in a kitchen cabinet secured with a master lock. Cleaning solutions and disinfectants will be secured in a locked kitchen cabinet located under the sink. LPA observed the stove to be operational. Refrigerator/freezer appear new and in working condition. The facility has kitchen storage areas for more than a 7-day supply of non-perishable foods. There is adequate seating for meals for the approved capacity. Medications will be secured in a storage cabinet near the living room. Client and staff files will be secured in a file cabinet stored in the dining room. Emergency water and food supply are stored in the garage. A wood wall secured the entire backyard. There is a swinging self-latching gate on the left and right side of the property. Indoor and outdoor pathways were free of obstructions. There was no bodies of water observed on the premises.

During today's visit, LPA observed the outside of the garage door leading into the garage that appeared to have mold/mildew. Applicant Rana reported the door will be replaced by Monday, 6/24/2024 and proof of correction will be submitted to LPA via email. LPA did not observe any additional issues or concerns. Applicant Rana is scheduled to attend COMP III on 6/14/2024 at the Riverside Regional Office.