Facility Evaluation Report

03/30/22, Licensing Program Analysts (LPA) Gail Johnson conducted an announced visit to this home. LPA was greeted by applicant Myrna Ma, and explained the purpose of today’s pre-licensing inspection visit. An application was submitted to CCLD on 02/12/22. In the initial license application for a Residential Facility for Adults, ages ranging from 60 and older. Fire Safety Inspection Request granted this facility approval to care for three (3) ambulatory and three (3) non-ambulatory residents.

This is a pink colored one-story home and is located in a residential neighborhood. The home includes six (6) bedrooms, two (2) bathrooms, a living and dining area, two (2) kitchens, two (2) family rooms, two (2) staff bedrooms, and laundry area (in the garage). The resident living area includes a sofa, recliner, and television. The kitchen has a laminate countertop, refrigerator and stove. The rear exterior is fenced throughout. Passage-ways, walk-ways, and steps are free from obstructions.

Clients reside in four (4) bedrooms. The bedrooms are labeled numbers three (3), four (4), five (5) and six (6). There are two (2) bedrooms for ambulatory clients and (2) two bedrooms for non-ambulatory clients. All rooms include (1) a full-size bed, one (1) chair, one (1) nightstand, one (1) table lamp. All bedrooms are equipped with sufficient lighting. All rooms had a dresser, which complies with the requirement of 8 cubic feet of space. All rooms had closets/and or ample storage space. Two bedrooms are occupied by staff. These rooms are sectioned from the other half of the house, and utilized as staff areas.