Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an announced pre-licensing inspection. This is an initial application applying for Residential Care for Elderly to serve residents for age 60 and above. LPA met with Alma Enriquez, applicant. The requested capacity is six (6). Fire clearance approved for six (6) non-ambulatory residents. Hospice waiver was approved for six (6). Advertising dementia special care program was submitted with application. No resident and no staff at the time of visit.

Fire clearance was granted on 04/18/23 for six (6) non-ambulatory and zero (0) bedridden. Fire clearance is in place. Dementia care plan was submitted. Auditory devices are installed at all exits and operational.

The property is a single-family residence located in a neighborhood, consist of six (6) bedrooms, four (4) bathrooms, kitchen, dining room, living room with TV, laundry room, storage room, and administrative area. Passageways, walkways and patios are free from obstructions. The entrance and side areas are free of hazards and debris.

Facility does not have a signal system. Garage is not accessible to residents.