Facility Evaluation Report

Licensing Program Analyst, Mary Rico, (LPA Rico) and LPM Efren Malagon arrived at the Jubilee Home Adult Residential Facility at 9:30am, as scheduled, to conduct a Pre-Licensing Visit. LPA introduced and stated purpose of the visit. Staff introduced himself as Administrator, David Adubi then provided LPA's with a walk through of the facility.

Application : The application is for an Adult Residential Facility (ARF). The fire clearance has been granted for three (3) ambulatory residents. Fire clearance was conducted and approved on 3/23/2023.

Buildings and Grounds: The facility is a one story residence comprised of 3 bedrooms, 1 bathroom and 1 Master bathroom attach to the bedroom. Kitchen/ dining area, laundry room, living room, backyard and attached garage.

The exterior pathways of the home were observed to not be clutter free with obstructions present. Smoke and Carbon Monoxide detectors were tested and found operational. Interior passageways were clear and free of obstructions. LPA's observed no pool on facility premises. LPA observed sufficient furniture and lighting throughout the facility. LPA observed four (4) screen windows missing and one (1) screen door missing.

Resident Rooms - LPA inspected, three (3) resident bedrooms; each room included required furniture such as: mattresses, night stands, storage space, and sufficient lighting. Each bathrooms was clean, and appliances fully operational.

Mr. Adubi reports there are no weapons stored in the facility. Rooms, furniture, beds, mattresses are in good repair. The bedrooms are completely furnished and privacy is available. The dining and living room areas are clutter free and in good repair. The water temperature was tested and 112 degrees Fahrenheit.