Facility Evaluation Report

On 7/21/2023, Licensing Program Analyst (LPA) Elvira Gonzalez and Licensing Program Manager (LPM) Stephanie Cifuentes conducted an announced pre-licensing visit to this home. LPA and LPM were greeted by applicant Nulisha Abeysinghe and explained the purpose of today’s visit. LPA and LPM were given access to the facility.

An application was submitted to CCLD on 03/04/2023 for an initial license application for a Residential Facility for the Elderly, ages 60 years and above. The applicant requested a capacity of six (6) individuals, of which maybe five (5) non-ambulatory, and one (1) bedridden.

The home is a Five (5) bedroom, three (3) bathroom, one story home with detached garage situated in a residential neighborhood. The home includes a living, dining, kitchen, and laundry area. Living room fireplace had a bolted on screen. The living area included sectional seating. The kitchen has a refrigerator and stove. Passageways, walkways, and steps inside and out are free from obstructions.

The facility has four (4) bedrooms for residents. There are four (4) bedrooms for non-ambulatory residents of which one is specific for bedridden. Two rooms include a bed, chair, nightstand. Two rooms had two beds, two chairs and two bedside tables. All bedrooms are equipped with ceiling lights and dressers, which comply with the requirement of 8 cubic feet of space. All rooms had closets for ample storage.