Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived to conduct an announced Pre-Licensing visit for a change of location licensure. LPA was greeted by Licensee, Allison Gore and General Manager, Beverly Harris. LPA introduced self and stated purpose of the visit. LIC200 application was submitted on 10/29/24 for (4) ambulatory clients. Fire Safety Inspection clearance was granted for (4) ambulatory clients on 12/20/24. LPA toured the facility inside and outside and observed the following:

Structure: Facility is a one story house with (4) client bedrooms, (2) bathrooms, office, living room, family room, dining area, kitchen, laundry room, backyard, and attached garage.

Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house.

Bedrooms: All bedrooms accommodate ambulatory clients in each room. All bedrooms have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Bathrooms: The bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap.

Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives, sharps, detergent, and chemicals are stored in locked compartments. There was non-perishable food and perishable food. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. Water tested in the bathroom faucet measured at 109.8 degrees fahrenheit. A functional washer and dryer are located inside the laundry room.