Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an announced pre-licensing inspection. Applicant is applying for Residential Care for Elderly to serve residents for age 60 and above. This is a change of ownership. The current applicant’s licensee is St. Sebastian Home of the Elderly, LLC. The facility was previously licensed to St Elizabeth’s Home for the Elderly II -198601681. LPA met with Briana McGree, applicant/ administrator. The requested capacity is six (6). Facility has an approved Dementia Care Plan. Hospice waiver was approved for six (6).

Fire clearance was granted on 01/03/23 for six (6) non-ambulatory and zero (0) bedridden. Auditory device is installed at all exits and operable.

The property is a single-family residence located in a neighborhood, consisting of four (4) bedrooms (2 bedrooms are shared and 2 bedrooms are private), two (2) bathrooms, kitchen, dining room, laundry room, garage, and living room with a TV. Passageways, walkways and patios are free from obstructions. The entrance and side areas are free of hazards and debris. Garage is not accessible to residents.

Bedrooms have nightstand, adequate lighting, adequate closet and drawer space. Bedrooms are spacious and allow for easy passage between and comfortable for usage. Toilet, wash basin, bathtub/shower in bathrooms are operable. (- Continued LIC 809 C -)