Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an announced Pre-Licensing visit to the facility. LPA met with applicant Angela Calhoun and was granted entry into the facility. An application to operate an Adult Residential Facility (ARF) was submitted to the Central Applications Bureau (CAB). Fire clearance was granted by the Apple Valley Fire District on 9/26/2024 for a total capacity of four (4) ambulatory.

The facility consist of 4 bedrooms, 2 1/2 bathrooms, family room, living room, dining room, staff office, and attached garage. LPA observed the following during the inspection:

Physical Plant: Indoor and outdoor passageways and inclines were free of obstruction. The facility has a swimming pool which was observed gated and locked. Outdoor activity area is shaded and enclosed with two (2) self-latching gates. The facility has an outdoor locked shed utilized to store gardening tools. The facility has sufficient lighting and is operating at a temperature of 75 degrees F. An adequate amount of space, supplies, games was observed for client activities. The facility has telephone service, smoke/carbon monoxide detectors (upstairs/downstairs), laundry equipment, (3) fully charged fire extinguishers and a covered fireplace. A locked closet was observed were cleaning supplies, disinfectants, and sharps were stored.

Bedrooms: Client bedrooms were equipped with a clean mattresses, mattress covers, chairs, nightstands, sufficient linen and lighting.

Bathrooms: Client bathrooms are clean and equipped with operating toilets, washbasins, showers. Hot water temperature measured at 118 degrees F.

Supplies: The facility has sufficient supply of linens, towels and hygiene products, and first-aid kit.

Food Service: The facility's kitchen and food preparation area were clean with an adequate number of dishes and utensils. Food storage cabinets are large enough for a seven (7) day supply of non-perishable foods. The refrigerator and freezer are clean and operating in good condition; there is enough storage for at least two (2) days of perishable foods.

Medications: A designated client medication closet was observed locked and secure.