Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility announced at 10:30 a.m. to conduct a pre-licensing inspection. The LPA met with Clinical Director Melissa Snyder, Administrator Emily Eckstein, and Program Director Stephen Canfield. The fire clearance was granted on 04/08/2022; in which rooms were cleared for ambulatory clients only. Component II was completed on 01/07/2022. Component III was completed during today’s visit.

The LPA toured the three-story home inside and outside with applicants to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

COMMON AREA: The first floor - which is considered the top level of the home - includes the kitchen, formal dining room, nursing office, staff room/garage with an attached bathroom, and a therapy/activity space. There are balconies on the first and second floor; however, access was limited for safety reasons. The second floor includes three (3) client bedrooms, an art room, the laundry room; and, the third floor - which is considered basement level - includes a client bedroom, common space, and a therapy room.

The common areas were appropriately furnished, and the lighting was adequate. There was a fireplace on the first floor, which was properly screened. The facility smoke alarm system is hard wired; the combination smoke detectors/carbon monoxide detectors were tested at 11:19 a.m. and were operable at the time of the visit. There are fully charged fire extinguishers on each floor. There was a functioning telephone on the premises. Emergency exiting plans/sketch were posted throughout the facility.

BEDROOMS : The facility designated four (4) bedrooms for client use. There are two rooms for double occupancy and two rooms designated for single occupancy. Rooms were set up with beds, nightstands, lamps, chests of drawers and closet space. Rooms #1, #2, and #3 are located on the second floor, and Room #4 was located on the third/basement level floor. Room #1 has a direct access to a balcony, yet access is limited for safety reasons. Lighting in the rooms appeared adequate.