Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown conducted an announced visit to the facility to conduct a Pre-licensing inspection for the above facility. LPA met with Applicant/Administrator Charles

Fisher - Robinson. Applicant/Administrator Robinson has applied for an Adult Residential Care Facility. The Fire Safety Inspection was approved on December 13, 2021 for four (6) Ambulatory Adult Clients. LPA Brown observed the following:

Facility was a one-story house with four (4) resident bedrooms, and one (1) staff bedroom and two (2) resident/staff bathroom, living room, family rrom, dining area and kitchen. There was an attached two (2) car garage in the left side of the house.

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

Each resident bedroom #1, #2, #3 and #4 will accommodate ambulatory resident. 4 resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm.

The (2) resident/staff bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap.

An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked drawer located in the kitchen. There was adequate room for food storage. LPA Brown observed the stove to be operational. Refrigerator/freezer were in working condition.