Facility Evaluation Report

On 03/23/2022 Licensing Program Analyst (LPA)’s Janira Arreola and David Cuevas conducted an announced visit for the purpose of a pre-licensing inspection. LPA’s met with Administrator/ Licensee, Shawniqua Davis and were granted entry. LPA’s took a tour of the interior and exterior of home. The home will be licensed for a total capacity of (4) non-ambulatory residents, ages 18 through 59. Delay egress and locked permitted not permitted.

LPA’s were informed that no firearms or ammunition will be kept at facility. The Licensee/Administrator, Shawniqua Davis has a current Administrator's Certificate (expires 05/05/2022).

LPA’s observed the home as follows: The home is single story 4 bedroom and 2 -bathroom home with an attached garage next to laundry room. There is dining area next to kitchen with a family room adjacent to the living room.LPA's observed a working phone for residents use.

LPA’s observed the bedrooms to be furnished with a bed, dresser, nightstand, and appropriate lighting. The bathrooms have grab bars for resident’s safety and non- skid mats or strips in tubs and showers. LPA’s observed the home to have ample supply of extra towels and linens for resident’s use. Medications will be locked and stored in kitchen area within a closet inaccessible to residents. LPA’s observed a complete first aid kit and manual within medication cabinet. The kitchen was stocked with pots, pans, cook ware, dishes, and silverware. Knives and other sharp items will be locked and stored in kitchen cabinet under magnetic lock.