Facility Evaluation Report

Licensing Program Analyst (LPA) Renee Campbell conducted an announced pre-licensing visit to this facility on 11/27/2024 and met with Jeevanjoat Sandhu, Licensee who will also be the Administrator for the facility ( #7015714735). It was learned that this facility will be licensed as an ARF to serve up to 4 ambulatory clients . There were no clients present during today's pre-licensing visit. The facility is a single floor building with 4 bedrooms and 2 bathrooms. Bathrooms were not reflected in the Facility Sketch on display. A tour of the facility was conducted. The facility was well lit and free of odor and was sanitary. Per the Administrator, the phone had been working for the past four months but was now not working.

Dining area, living area, and all other areas intended for resident use were toured and observed with minimal furniture. An emergency disaster plan, facility sketch, See Something, Say Something and Personal Rights notice were observed on the dining room table. All notices were printed on legal size paper. Fire extinguisher was in place in the dining room area and fully charged with an inspection date of 10/25/2024. The smoke and carbon monoxide alarms were tested successfully and were found be functional. Kitchen area was toured. Cabinets and drawers were opened and reviewed by this LPA along with the Applicant. The medication cabinet, first aid kit and a thermometer were located in a secured cabinet in the kitchen. A first aid kit was observed to be present but did not contain scissors.

A tour of the resident bedrooms were conducted. Furnishings and furniture intended for use by the clients were observed.