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25 | At 12:34 p.m., Licensing Program Analyst (LPA) Melissa Ruiz conducted an announced Pre-Licensing visit to the facility mentioned above and met with Administrator Salbi Aidinova. An application to operate an Adult Residential Facility was received. A fire clearance dated 03/16/2022 was received for 4 ambulatory residents. The facility is a single-story building. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: The facility has a total of five (5) bedrooms, four (4) designated for clients and one (1) designated for staff. Clients’ bedrooms were observed to be appropriately furnished. There are three (3) bathrooms, two (2) of which are designated for client and one (1) staff use. The common areas were appropriately furnished, and lighting was adequate. The living rooms had televisions and comfortable furniture. Resident and staff records will be stored in a locked closet near the kitchen. Medications will also be stored and locked in the locked closet. The fire extinguisher is in the kitchen and was full. There are dual smoke and carbon monoxide detectors throughout the facility, and at 10:48 a.m. they were tested and were deemed operational. There is a functioning telephone on the premises. An emergency exit plan/sketch is posted throughout the facility along with other posting requirements. The first aid kit is readily available. Facility appears to be clean, in good repair and kept at a comfortable temperature of 72°F. Appliances in the kitchen appeared to be functional. There was a minimum of one week’s worth of nonperishable food to accommodate a maximum capacity of four (4) residents. There is a shaded sitting area in the fenced backyard for clients to conduct outdoor activities. There is a designated laundry room along the hall and stores extra linens and cleaning supplies. Component III was conducted during this visit. This report will be forwarded to the Centralized Application Bureau (CAB) for approval. Exit interview was conducted with Administrator Salbi Aidinova. A copy of this report was signed and delivered. |