Facility Evaluation Report

Licensing Program Analyst (LPA) Yolanda Delgado conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. At approximately 9:00 AM, LPA met with Licensee/Administrator Wilton Miles, Naomie Arroyo, House Manager and Don Jobe, Owner. An initial application for Initial Application to operate a Adult Residential Facility (ARF) was submitted to the Central Applications Bureau (CAB) on 1/9/2023 for a total capacity of four (4) ambulatory residents. Fire clearance was granted on 12/28/2022. LPA Delgado observed the following:

Facility was a two-story house with four (4) resident bedrooms, three (3) resident bathrooms, living room, family room, dining area and kitchen. There was an attached two car garage in the front of the house.

Central heating and air conditioning system installed with a panel located in the hallway on the first floor and a panel on the second floor to control entire house.

Each resident bedroom #1, #2, #3 and #4 will accommodate any ambulatory resident, bedroom #5 is Master for Office and common use by residents. 4 resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm.

The three (3) resident bathrooms has a working toilet, wash basin, and shower with an adequate supply of toilet paper, no paper towels, no handsoap, no lidded trash cans and no handwashing signage observed. At 9:46 AM, LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 126.1 degrees Fahrenheit. Shower in hallway second floor water temperature measured at 85 degrees. (CONTINUED ON LIC 809C)