Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Goldenberg conducted an announced visit for purpose of a pre licensing visit. An application was submitted for an Adult Residential Facility to the Central Applications Unit (CAU) on 04/03/2023. Fire Clearance was granted 04/20/2023 for a capacity of 119 ambulatory, 30 non-ambulatory and 1 bedridden resident. LPA Goldenberg observed the following:

Structure : Facility was a two story building with 87 bedrooms.

Heating/Cooling System : Central heating and air conditioning systems.

Bedrooms : All bedrooms were adequately furnished with bed, chair, large closets, appropriate linens, adequate lighting.

Bathrooms : Bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Water temperature measured and read by LPA at 112 F.

Kitchen/Laundry : An adequate supply of dishes, glasses, utensils, pots and pans were observed. Cleaning supplies and knives/sharp instruments were inaccessible. There was adequate room for food storage. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals.

Living/Family room : Furnished with safe and adequate seating and furnishings. All items appear to be in good repair.