Facility Evaluation Report

On 5/15/2023 at 9:28AM, Licensing Program Analyst (LPA) G. Luk conducted an announced Pre-licensing Inspection. LPA met with Licensee/A dministrator, Edgardo Rosellon . LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room, garage, and outdoor area. Hot water temperature was measured at 114.8 degrees F. Facility has a locked hallway closet for Medications. First aid kit was complete. Fire extinguisher was observed to the full and last serviced on 2/9/2023. Smoke and carbon monoxide combination detectors were observed. No bodies of water observed. Disaster plan was completed on 3/13/2023. Home was clean and well ventilated with appropriate lighting. Licensee purchased surety bond on December 5, 2022.

Facility has some non-perishable and perishable food supplies. Licensee will purchase additional food supplies prior to admitting clients. There were appropriate number of utensils, plates, bowls, and cups at the facility.

The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB):

1. Facility does not have any chest of drawers for clients and need to obtain some chest of drawers.

2. Facility only had 4 chairs in the bedrooms with fire clearance granted for 6 clients. Licensee will need to obtain 2 additional chairs.

Licensee/Administrator will submit proof of corrections to CCLD on/before 5/22/2023.

Exit interview conducted and a copy of this report provided.