Facility Evaluation Report

On 10/12/2023 at 8:13 a.m., Licensing Program Analyst (LPA), Jewel Baptiste, conducted an announced visit to the facility for purpose of a pre-licensing inspection. Upon arrival LPA met with the Licensee Maria and Lawrence Tangonan. An application was submitted to CCLD on 08/11/2023, for Initial license for Residential Care facility for the elderly (RCFE) age range 60 and older. The requested capacity is for 6 residents. Approved hospice waiver for 6.

The facility is a single-story house and located in a residential neighborhood area. Facility is 4 resident bedrooms,1 live in staff bedroom, 2 bathrooms, kitchen, living room, dining area and an attached garage. The resident bedrooms are spacious and will easily accommodate the client's furnishings. There is a huge back yard with a covered and shaded area for table and chairs. The passageways, walkways, and driveway are free from obstructions. The front, back and side areas of free of hazards and maintained in a good condition.

Each resident has a pendant to call for assistance. The facility has a delayed egress on the front and back doors and LPA observed that it was operational.

There is two (2) share bedrooms and one (2) private be in each resident. Bedrooms # 1 through 4 is for non-ambulatory residents. Bedroom #4 can also have 1 bedridden resident. Each bedroom has one or two beds (if shared), one chairs, one night stand, one dresser, one closet and lighting.