Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. An initial application to operate was submitted to the Central Applications Unit (CAU) on 07/12/2021. Fire Clearance was granted 09/28/2021. LPA Allen observed the following:

Structure: Facility was a single-story house with three (3) resident bedrooms, 2 bathrooms, living room, dining area, and kitchen area.

Bedrooms: All bedrooms were adequately furnished with mattress, chair, large closets, appropriate linens, adequate lighting, and an operational smoke alarm.

Bathrooms: Bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Water temperature measured by LPA at 114 F.

Kitchen: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. 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. All cleaning supplies and knives/sharp instruments have an allocated location in a locked closet at the main entrance