Facility Evaluation Report

On 10/25/24, at 9:00am, Licensing Program Analyst (LPA) Perry Scott conducted an announced visit to this home. LPA was greeted by applicant Christopher Jones and the LPA explained the purpose of today’s Pre-licensing inspection visit.

An application was submitted to CCLD on 06/07/24 in the initial license application for a Residential Care Facility for the Elderly aged 60 and over. The applicant requested a capacity of six (6) non-ambulatory individuals; of which one (1) may be bedridden in bedroom #1 only. A waiver was granted for hospice care of three (3).

The home is a three (3) bedroom, one and a half (1.5) bathroom, one-story home with a garage situated in a residential neighborhood. The home includes a living room, dining room, kitchen, and laundry area. The living area included couches, love seat, and a table. The kitchen has a refrigerator, microwave, and a stove. The rear exterior is fenced throughout with a patio that includes a table and six (6) chairs. The passageways, walkways, and steps are free from obstructions. The front and back entrances are wheelchair accessible.

The facility has three (3) bedrooms. There are three bedrooms with two beds in each, bedroom #1 is designated as a room for a bedridden resident. All rooms include two (2) twin-size beds, two (2) chairs, two (2) nightstands, and two (2) table lamps. All bedrooms are equipped with a ceiling light and a dresser. All rooms had closets for ample storage.

Facility Evaluation Report Continued On LIC809-C