Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an announced visit to complete the Pre-licensing inspection. LPA met with Licensee, David Adubi. The fire clearance was approved on 12/12/2023 for three (3) nonambulatory clients and one (1) ambulatory client.

The facility has four (4) bedrooms, two (2) bathrooms, living room, family room, kitchen, dining room, laundry room, one attached car garage used as office, attached 2 car garage, back yard with shed. LPA toured the interior and exterior areas of the facility. The following were inspected:

Client Bedrooms : All bedrooms have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Client Bathrooms : The bathroom appliances were operating in safe and sanitary condition.

Kitchen and Dining Areas : Utensils and dishware are in good repair and ready for client use. Kitchen appliances and counter top were free of debris and in good repair. The water temperature was measured at 114.8 and 110 degrees fahrenheit. The refrigerator and the freezer were measured within compliance. There was a locked and secured location where medication, sharps, chemicals and clients/staff files will be stored. There was non-perishable food in the pantry and perishable food in the refrigerator.

Common Sitting Areas : There is adequate seating in the common areas. The facility has a supply of activities for the clients.

Laundry Room/ Garage : The laundry room is next to the attached 2 car garage. The attached one car garage is next to bedroom #1 and is used as the office where clients/staff files will be securely stored.