Facility Evaluation Report

On 01/16/2025 at 1:05PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an announced visit to the facility for the purpose of a Pre-Licensing evaluation. LPA met with Administrator, Jessica Vega An initial application to operate an Adult Residential Facility was submitted to the Central Applications Bureau (CAB) on 12/18/2024 for a total capacity of (2) two ambulatory clients. Fire clearance was granted on 01/07/2025. LPA Small observed the following:

Facility is a house with two levels and five (5) bedrooms, three (3) bathrooms, living room, dining area and kitchen. There was an attached two car garage in the front of the house.

Central heating and air conditioning system installed with two (2) central panels located in the hallway to control the first (1) and second (2) level.

All bedrooms for clients are adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and nighltights were observed throughout the hallway on the second level. .

All three (3) bathrooms have working toilets, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. The water temperature was measured at 107 degrees Fahrenheit.

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