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 9:40 AM, LPA met with Administrator Ryan Seifsnyder, Kenyota Dokes, Program Director, Jerome Spurlin, Compliance Specialist, Matt Nonoshita, Executive Director/Licensee. An initial application to operate a Social Rehabilitation Facility was submitted to the Central Applications Bureau (CAB) on 7/11/2022 for a total capacity of six (6) ambulatory. Fire clearance was granted on 8/30/2022. LPA Delgado observed the following:

Facility was a three-story house with three (3) resident bedrooms, five (5) resident bathrooms, living room, family room, dining area and kitchen, therapy rooms on the Main 1st floor. There was an attached three car garage on the the west side of the house. Main House 2 nd floor-two (2) offices. Basement-Recreation room, Exercise room, theater room, Art Space, Storage, one (1) bathroom. Garage for Main House is used for extra storage space for Chef and sink is non-operational and is not in use. Guest House is a two-story for Administration use only.

Central heating and air conditioning system installed with 8 thermostats located in Basement-two (2) hallway that lead to Recreation room and Art Space. Main House-1st floor two (2) in hallway. Main House 2nd floor in resident room, two (2) in hallway.

Each resident bedroom #1, #2, and #3 will accommodate any ambulatory resident. 3 resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm.