Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner conducted an announced visit to the facility for purpose of conducting a Pre-Licensing evaluation. An initial application to operate an Adult Residential Facility was submitted to the Central Applications Unit (CAU) for a total capacity of 4 non-ambulatory clients. Fire Clearance was granted 6/17/2022. LPA met with applicant Charlotte White. LPA Gardner observed the following:

Structure: Facility was a single-story house with four (4) client bedrooms, two bathrooms, living room, dining area, and kitchen area.

Heating/Cooling System: Central heating and air conditioning systems. Facility is maintained at a comfortable temperature.

Bathrooms: Bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Water temperature measured by thermometer read by LPA at 111.8 F.

Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Cleaning supplies and knives/sharp instruments were secured in a locked cabinet and drawer. There was adequate room for food storage. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals.

Bedrooms: All bedrooms were adequately furnished with bed, chair, large closets, appropriate linens, adequate lighting, and an operational smoke alarm.

Living/Family room: Furnished with safe and adequate seating and furnishings. All items appear to be in good repair.