Facility Evaluation Report

Licensing Program Analyst (LPA) Darlene Chavez conducted an announced pre-licensing visit. LPA met with applicant Rob White and staff Tanya White.

Applicant took LPA on a tour of the facility and the following is noted:

Medications: There is a locked box in the office, located off the kitchen, to secure resident medications.

Physical Plant: The facility is a 4-bedroom, 2.5 bathroom with a kitchen, dinette, office, living room, laundry room, and garage. Facility is clean, sanitary and in good repair. Indoor and outdoor passageways, open porches, and other areas of potential hazard are free of obstructions. The facility does not have any pools or bodies of water. The facility does not store or allow firearms or ammunition to be stored at the facility. Any dangerous products/tools will be stored in the locked garage. Soaps, detergents, and cleaning supplies are kept in a locked cupboard in the laundry room. All window screens are clean and in good repair. Facility temperature is between 68-85 F degrees. Fireplace has a secured screen making it inaccessible to clients in care. The facility does not have any areas that would require hand railings at this time. Smoke and carbon monoxide detectors were tested and operating properly throughout the facility. The two outdoor side gates need self-closing mechanisms added and the side gate by the garage needs a handle and lock on the interior toward backyard. Applicant will install, take a video, and send to LPA.

Bedrooms: The facility has four resident bedrooms, two with double occupancy and two with single occupancy. Bedrooms have beds for each resident with mattress, mattress pads, bed springs and pillows which are clean and in good repair. Mattresses and pillows are flame-retardant. The rooms have dressers and closet space for residents. The rooms are furnished with chairs and proper lighting and/or lamps in each room for clients.