Facility Evaluation Report

On 03/20/23, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with licensee Edith Pacleb and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for (1) hospice resident. There are currently four (4) residents in the facility.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: (4) residents' rooms, (2) common bathrooms, living area, dining area, kitchen, and outside covered patio area.

LPA and licensee toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 119.1 F. A comfortable temperature is maintained in the facility.