Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted a Pre-Licensing Inspection with the administrator Stacey Thomas. The applicant is " TOUCH OF AN ANGEL LANCASTER LLC " and this is a "Change of Ownership" application. A fire clearance was approved on 07/02/24 for four (4) ambulatory residents, and room #3 approved for one (1) non-ambulatory, and (1) bedridden for a total capacity of 6. Facility has a Hospice waiver approved for three (3) residents.

The facility is a two story home with the second floor designated for live-in staff only. The facility has a total of three (3) bedrooms and two (2) bathrooms for resident use. A tour of the physical plant was initiated at approximately 10:00 a.m. and the following was observed:

KITCHEN: The facility has a kitchen that is equipped with a refrigerator, microwave, stove, dishwasher and sink. There was an adequate supply of perishable and nonperishable food; properly stored. LPA observed a fire extinguisher, fully charged.

BEDROOMS: There are three (3) bedrooms designated for residents' use: all three (3) bedroom are shared. The bedrooms are 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. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water temperature was measured at 117°F.

LAUNDRY ROOM: The laundry room is located in the garage accessible to residents. Laundry detergents and other cleaning agents were locked in a cabinet inside the garage inaccessible to residents in care. The cleaning supply cabinet was observed to be locked during visit. (continue to LIC 809-C)