Facility Evaluation Report

On 7/16/2024 at 8:55 a.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted a second announced pre-licensing inspection and met with Josh Fane Operations Manager (OM) and Shayla Linn Operations and Compliance Specialist (OCS).

The facility is a social rehabilitation facility (SRF) for short term stay. The facility fire clearance is approved for 6 ambulatory clients and able to cognitively respond to emergency such as fire. At the time of inspection there are no clients observed.

At 9:00 a.m. LPA with applicants toured the facility inside and outside to inspect the corrections required prior to approval of the license. The following were discussed during the previous pre-licensing visit on 6/5/2024.

and the area of concerns were addressed by the applicant.

1. Pool area - have been addressed, applicant submitted photos and a physical inspection was conducted. LPA observed that the pool fence was properly installed. To address other concern regarding the pool's safety and security; applicant stated the pool area will be monitored by surveillance camera and clients who wishes to use the pool will need a clearance from the client's mental health provider. Applicant stated that clients will be supervised when using the pool.

2. Driveway (east side of the property) - applicant has submitted photos and was physically inspected by LPA. LPA observed that the fence was extended closing off the access to the owner's commercial storage area.

3. Balcony on the 2nd floor - group activity room - applicant has addressed the safety of the balcony by locking the sliding door going to the balcony. Applicant stated the balcony sliding door will remain locked and will not be used by the client.