Facility Evaluation Report

On 02/26/2025 Licensing Program analyst Jose Anguiano and Licensing Program Manager Ulysses Coronel staff conducted an announced visit to the facility for purpose of a pre-licensing evaluation. The pre-licensing evaluation was conducted with Amber Coxsom.

On 01/30/2025 an application was submitted to CCLD, for Residential Facility for the Elderly. The requested capacity is for 6 of which 6 may be non-ambulatory and 0 may be bedridden. The facility is a 4 bedroom, 3 bathroom, 1 story house.

CCLD staff conducted a review of the Physical Plant, Bedrooms, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation.

There is a locked centralized storage area for client medications.

Facility is clean, sanitary, and in good repair. Protective devices are in place to include nonslip material on rugs. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions. Facility temperature is between 68 degrees and 85 degrees. Fireplaces and open-faced heaters are inaccessible to clients. Stairways, inclines, ramps, open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. Fire Alarms and Smoke alarms operate properly. Carbon monoxide detectors operate properly.