Facility Evaluation Report

On 11/16/2023 at 10:30 AM, Licensing Program Analyst (LPA) Lourdes Montoya conducted an announced pre-licensing visit to this home. LPA was greeted by Applicant Stephanie Klein and Staff Marhlyn Sapugay and explained the purpose of today’s pre-licensing inspection visit.

An application dated 8/25/2023 was submitted to CCLD for an initial application for a Residential Care Facility for Elderly License. The applicant requested a capacity of six (6) ambulatory individuals. However, due to insufficient space on one of the bedrooms (bedroom #1), applicant agreed to reduce the capacity to five (5) ambulatory individuals. A new fire clearance for five ambulatory individuals was obtained on today's visit.

The facility is on the second floor of a two-story house located in a residential neighborhood and consists of three (3) bedrooms, one (1) bathroom, living room, dining area, a kitchen, and a covered outdoor patio and a garage on the first floor. The facility is clean and sanitary. Indoor passageways are free of obstructions. All window screens are clean and in good repair. The facility temperature is between 68 degrees and 85 degrees.

The facility has three (3) bedrooms for ambulatory clients. Client bedrooms are large enough to allow for easy passage and to accommodate furniture and assistive devices such as wheelchairs, walkers, or oxygen equipment. No client bedroom is a passageway to another room, bath, or toilet.

The home has one (1) bathroom. The resident bathroom has a working toilet and washbasins.