Facility Evaluation Report

On 12/12/2024 at 9:15 AM, Licensing Program Analysts (LPAs) Beena Singh and Melody Brown conducted an announced visit to the facility for purpose of Pre-licensing evaluation. LPAs Singh and Melody Brown met with Administrator/Applicant _Sadia Kijan and Michael Kijan. An initial application to operate an Adult Residential Facility (ARF) was submitted to the Central Applications Bureau (CAB) on 09/16/2020 for a total capacity of four (4) Ambulatory. Fire clearance was granted on 06/27/2024. LPAs Beena Singh and Melody Brown observed the following:

Facility was a two (2) story house with three (3) client bedrooms, one (1) staff bedroom and three (3) bathrooms, living room, dining area and kitchen. There was an attached two (2) car garage in front of the house.

Central heating and air conditioning system installed with one (1) central panel located in the hallway to

Each client bedrooms accommodate any ambulatory client. All client bedrooms were adequately furnished

with bed, appropriate linens, adequate lighting, and an operable smoke/carbon monoxide alarm. However, LPAs observed no night stand in the rooms and dressers, no night lights maintained in hallways going to clients shared bathrooms. Technical Assistance issued.

The three (3) client/staff bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. LPAs Beena Singh and Melody Brown tested the water temperatures in the clients' bathrooms.