Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the applicants, Peter and Marites Grabicki. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on September 24, 2024. A fire clearance was approved on October 23, 2024 for four (4) non-ambulatory residents, one (1) bedridden resident, and one (1) ambulatory for a total capacity of six. The facility is a one story building. The smoke alarms and carbon monoxide detector are dual and inter-connected. The fire extinguisher is located at the living room. The charge date is October 21, 2024.

A tour of the physical plant was initiated at approximately 10:00am and the following was observed:

KITCHEN: The kitchen is equipped with a refrigerator, microwave oven and sink. There is an adequate supply of nonperishable food items on stock. Perishable food items not required at this time as facility has zero (0) census. Applicants were advised to purchase perishable food items once licensed and facility starts operating. Applicant has enough dining ware to accommodate a maximum capacity of six (6). Knives/sharps and cleaning supples were observed locked in a kitchen cabinet. First aid kit and manual is maintained in a kitchen cabinet.

BEDROOMS: There are four (4) bedrooms designated for client use. Per STD 850, Bedroom #1 has the bedridden fire clearance. Bedrooms #2 and #3 are shared. Bedroom #4 is ambulatory only. The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space.