Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted a Pre-Licensing Inspection at this facility and met with the applicant representative Maria Royo . The applicant Licensee is " HARCELLE RESIDENTIAL HOME CARE, INC. - 2 ". A fire clearance was approved on 05/30/2024 for two (2) non ambulatory clients and two (2) ambulatory clients for a total capacity of four (4) clients.

The facility is a single story house with a total of five (5) bedrooms and two (2) bathrooms. A tour of the physical plant was initiated at approximately 9:11 a.m. and the following was observed:

LPA observed required postings through out the facility.

BEDROOMS: There are five (5) bedrooms, of which four (4) are designated for clients' use, one (1) of the four (4) client bedrooms is shared. Clients' bedrooms were furnished with beds, night stand, chairs, dressers, bedding and linens. The bedrooms have sufficient lighting and storage.

BATHROOMS: The facility has two (2) shared bathrooms for clients' use. One bathroom is located in the shared bedroom. The bathrooms were observed to have the proper fixtures, and supplies. Under bathroom sink cabinets were observe locked and stored cleaning products. The hot water temperature measured at 114°F, within regulation.

LAUNDRY ROOM: The laundry room is accessible to clients. Laundry detergents and other cleaning agents were locked in the laundry room. The attached garage is through the laundry room. The garage is used to store extra facility supplies.

Smoke detectors were tested and observed to be operable, they are hardwired and interconnected. A carbon monoxide detector was observed operable. Two (2) Fire extinguishers were observed fully charged with service date 04/29/2024. (Continued on LIC809-C)