Facility Evaluation Report

On 01/31/24, at 09:25am, Licensing Program Analyst (LPA), Gina Saucedo, conducted an announced visit to the facility for purpose of a pre-licensing evaluation.

An application was submitted to CCLD on 08/09/2023, Initial license for a Residential Care Facility for the Elderly, 60 years and older. The requested capacity is for one (1) ambulatory, four (4) non-ambulatory of which may be ambulatory, and one (1) bedridden, total of up to six (6) residents.

Facility is a single-story home. Today's site visit consisted of LPA touring the physical plant at 10:15 AM inside and outside and observed the following:

There is no bedroom designated for awake staff.

There is a total of four (4) bedrooms. BEDROOMS APPROVED FOR ONLY AMBULATORY SHALL NOT BE USED FOR NON-AMB, PER 85087. There shall be no more than two clients per bedroom. Bedrooms #1 (one) is for ambulatory occupancy, bedroom number two (2) is for bedridden occupancy, and is cleared by the Fire Safety Inspection Request. Bedroom number three (3) will be a shared bedroom and bedroom number four (4) has a private bathroom. All the bedrooms have proper bedding, chairs, night stands, lamps in addition to overhead lighting.