Facility Evaluation Report

Licensing Program Analyst (LPAs) Sarina Ramirez and Magda Malcore conducted an announced visit to complete the Pre-licensing inspection. LPAs met with Administrator Donna Nazir, and discussed the purpose of the visit. An initial application to operate an Adult Residential Facility (ARF) was submitted to the Central Applications Bureau (CAB). A fire clearance was granted by the Apple Valley Fire Department on 2/28/24 for a total capacity of (6) ambulatory clients. LPAs observed the following:

Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water.The facility has sufficient shaded outdoor space and sufficient indoor space for client activities. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has operating telephone service, smoke/carbon monoxide alarms, and laundry equipment. The facility has posted in a common area, telephone numbers, personal rights, Licensing complaint information, and facility visiting policy. Sharps and cleaning supplies are kept in a locked cabinet.

Bedrooms/Bathrooms: Client bedrooms are equipped with mattresses, bed linen, chairs, night stands, and sufficient lighting. Client bathrooms are clean and equipped with operating toilets, washbasins, showers, and covered waste bins. Night lights were observed in the hallway area outside of client bathrooms.

Food Service: The kitchen and dining areas are maintained clean. The facility has an adequate number of cups, dishes, and utensils. The facility has a sufficient seven (7) day supply of non-perishable foods. The refrigerator and freezer have sufficient space for at least two (2) days of perishable foods.