Facility Evaluation Report

Licensing Program Analyst (LPA), Stephanie Torres, conducted an announced pre-licensing inspection at the facility and met with Licensee, Nelly Navarro.

Application : The application is for an Adult Residential Facility (ARF), initial application. The fire clearance has been granted for three (3) ambulatory clients and two (2) non-ambulatory client.

Buildings and Grounds: The home is composed of four (4) client bedrooms, two (2) living rooms, three (3) bathrooms, a laundry room, kitchen and dining areas, garage, and front/back yard areas. The interior/exterior walkways of the home were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors are in working order. There are no pools or other bodies of water located at the home. According to Navarro, there are no weapons stored in the home. Rooms, furniture, beds, mattresses appeared to be in good repair. The bedrooms are fully furnished, and privacy is available. The dining and living room areas are clutter free and in good condition. Outdoor areas had sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The home is in excellent condition.

Storage and Supplies: Medications will be stored in a locked filing cabinet, inaccessible to any unauthorized individuals. Secured areas will be made available for facility files and client files. The first aid kit was observed to be available and complete. Cleaning supplies will be stored away in a secured garage cabinet. Linens, and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged.

Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and stove are in working order. Sharps will be stored in a locked cabinet, available only to authorized individuals.