Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an announced pre-licensing visit to the facility. Today’s visit was conducted with Arnold Hernandez, Administrator.

The facility is a one-story home which will be licensed as an Adult Residential Facility (ARF). Currently, there are no clients residing in the facility.

The facility has a fire clearance for four (4) ambulatory clients. The facility consists of a: living room, a family room with the dining area, kitchen, four private bedrooms, one private staff room, two full bathrooms with hallway access, a two-car garage, and front and backyards.

Upon entrance of the residence, there is a walkway leading to a large front porch with entrance through the front door.

Entrance into the facility leads into the living room. The living room consists of a couch, sitting chair, coffee table, a fixed-screened fireplace, and a wall-mounted television.

The family room and dining area include a dining table, a couch, sitting chair, wall-mounted television, and a non-working stove heater.

The living room, family room, and dining area are furnished with adequate furnishings to sustain a capacity of four clients.

The kitchen consists of a refrigerator, dishwasher, microwave, sink, stove and oven, and a trash can with a flip lid. A washer and dryer are in a utility closet off the kitchen. Emergency food will be kept in the kitchen and laundry area.

There are two shared bathrooms off the hallway with access to all clients. The bathrooms have non-skid flooring and mats.

Clients’ records, personnel documents and records of confidentiality will be kept in a locked file cabinet located in the staff office. Sharps and medications will be kept in the locked staff office and will be inaccessible to clients in care.