Facility Evaluation Report

Licensing Program Analyst, Amber Coleman, (LPA) conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. LPA met with Crystal Garcia, Administrator/Licensee and Myra Lopez, Licensee, introduced self and stated purpose of the visit. Initial Application submitted 3/23/23 to Centralized Applications Unit to operate an Adult Residential Facility (ARF) for a capacity of 4. Two (2) ambulatory and 2 non-ambulatory residents. Fire Clearance was granted 1/10/2023. LPA Coleman observed the following:

Structure: Facility was a residence with 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, and attached garage to be used as a staff office.

Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house.

Bedrooms: Each resident bedroom will accommodate any non-ambulatory or ambulatory resident.

All resident bedrooms were adequately furnished with bed, chair, large closets, appropriate linens, adequate lighting, and an operational smoke alarm. Bathrooms: 2 bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Hand rails were observed near toilets and in showers/tubs. Water temperature measured by applicant and thermometer read by LPA at 107 to 122.