Facility Evaluation Report

On 1/31/25 Licensing Program Analysts (LPA) Alfonso Iniguez conducted a pre-licensing evaluation for an RCFE facility type. Today’s pre-licensing evaluation was conducted with Tiffany Zachery/License.

The licensee has applied for a license to serve (4) elderly residents ages 59 and older. The fire clearance is approved for (4) ambulatory only. Approved hospice waiver for two (2).

A tour of the Kitchen, Dining Room, Staff Room, Living Room, (2) Bedrooms, (2) Bathrooms, Back Yard, and Patio with shade.

The following was observed during this visit:

There is a locked centralized storage area for Resident medications.

Facility is clean, sanitary, and in good repair. Protective devices are in place. Indoor and outdoor passageways, stairways, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. Open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. Smoke alarms operate properly. Carbon monoxide detectors operate properly.