Facility Evaluation Report

Licensing Program Analyst (LPA) V. Maldonado made an announced visit to the facility for the purpose of conducting the Pre-Licensing visit using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with Applicants Lorraine Lopez, Megan Hill, and Andres Castellanos.

This is a new facility. Applicant has requested to operate as a Residential Care Facility for the Elderly (RCFE). Fire clearance has been approved to serve (6) older adults, ages 60 and over, of which (5) will be non-ambulatory, and (1) will be bedridden. Bedridden resident approved in room#2 only. Applicant has also requested to care for residents with dementia, and has a pending Dementia Care Plan. An Infection Control plan has been submitted and approved by the department. The facility has an active and current liability insurance policy on file.

The facility is a single-story home located in a residential area. It consists of (4) resident bedrooms, (2) full bathrooms, a kitchen, dining room, living room, attached garage, and shaded patio area with sufficient seating for residents. There is sufficient indoor and outdoor activity space for residents.. Resident bedrooms were observed to have the required furniture, sufficient lighting, and closet/storage space. Resident bathrooms are equipped with required grab bars and non-skid mats. The showers accommodate non-ambulatory residents. The hot water was tested and measured between 111*F-114*F, which is in compliance. Food supplies was observed and was sufficient as required. Fire extinguishers were observed throughout, with current inspections and were fully charged. All sharps and cleaning supplies/toxins were observed to be locked and inaccessible to residents in care. Auditory devices were observed at all entrances/exits of facility and were operational. There were no bodies of water observed on the premises. All required postings were observed throughout the facility. Sufficient additional linens/towels were observed. The washer and dryer, PPE, hygiene supplies, and cleaning supplies are located in the garage. They are kept locked and inaccessible to residents at all times.