Facility Evaluation Report

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to complete a prelicensing inspection. LPA Nickolas met with Licensees Conrad and Tammy Osby and explained the purpose of the visit. Today’s inspection included a facility tour and records review.

The pending application is for an Adult Residential Facility (ARF). The facility has been granted a fire clearance for a total capacity of three (3) ambulatory clients by the Fontana Fire Department on

The facility has a total of four (4) bedrooms and three (3) and a half (1/2) bathrooms of which three (3) bedrooms and two (2) and a half (1/2) bathrooms are used for residents in care. The facility also has great room, kitchen, dining area, backyard, and attached garage. The facility has no bodies of water and a shaded area for outdoor seating. The facility has a working telephone, a charged fire extinguisher, combined smoke, and carbon monoxide detectors, and a complete first aid kit. LPA Nickolas observed that cleaning supplies, toxins, sharps, medications, and other dangerous items are kept secure and inaccessible to residents in care. The following were observed of the physical plant:

Client Bedrooms: LPA Nickolas’ observed all bedrooms to have the required bedding and furniture, such as, clean mattresses/linen, sufficient storage space, chairs, and lighting.

Client Bathrooms: LPA Nickolas observed bathroom appliances were operating in safe and sanitary conditions and contained appropriate hygiene items for clients.

Kitchen and Dining Area: LPA Nickolas inspected the kitchen and found dishes, glasses, and utensils were in good condition and stored in a safe manner. LPA Nickolas' also observed all kitchen appliances working and in good repair.

Common areas: LPA Nickolas' observed night lights were maintained in the hallways. There is adequate seating in the common areas.