Facility Evaluation Report

Licensing Program Analyst (LPA) Seo Jeon conducted an announced visit to conduct a Pre-licensing inspection. LPA met with Juanita Sanchez, Applicant, for an Adult Residential Facility (ARF) with a capacity of four (4) residents. The facility is a 2-story home with four (4) bedrooms, three (3) bathrooms. There are four (4) resident bedrooms, kitchen/dining area, living room area, a laundry room, and a backyard. The facility does not contain any bodies of water or firearms or ammunition. LPA toured the interior and exterior areas of the facility. The following were inspected:

All bedrooms have the required bedding and furniture, night-stands, dressers, chairs, lighting, and emergency lighting. The bathroom appliances were operating in safe and sanitary condition. Utensils and dishware are in good repair and ready for client use. Kitchen appliances and counter-top were free of debris and in good repair. The knives and sharp objects were locked in a safety box under kitchen sink. The water temperature was measured by LPA. The thermometer read at 105 degrees F. There is adequate seating in the common areas. The facility will have a storage cabinet that will hold resident files, staff files, and resident medication locked in a facility staff office.

The facility will keep the detergents and cleaning chemicals in locked cabinets located in the laundry room. An adequate supply of clean linens and hygienic supplies for the residents were readily available at the facility. There is one (1) charged fire extinguisher in the facility. LPA observed operating smoke detectors and carbon monoxide alarms in the facility. LPA observed required postings including the visitation polices, emergency/disaster plans, complaint procedures, and personal rights. The facility was equipped with a complete first aid kit with instruction manual.