Facility Evaluation Report

On 03/06/24, at 8:25am, Licensing Program Analyst (LPA), Gina Saucedo, conducted an announced visit to the facility for purpose of a pre-licensing evaluation.

An application was submitted to Community Care Licensing Division-CCLD on 08/07/2023, Initial license for a Residential Care Facility for the Elderly, 60 years and older. The requested capacity is for five (5) non-ambulatory and one (1) bedridden, total of up to six (6) residents but fire clearance does state all bedrooms are cleared for bedridden as long as it is one (1) at a time.

Facility is a single-story home. Today's site visit consisted of LPA touring the physical plant at 8:45 AM inside and outside and observed the following:

There is no bedroom designated for staff at this time.

There is a total of six (6) bedrooms for resident use. There shall be no more than two clients per bedroom if used for non-ambulatory. All bedrooms are cleared for bedridden but only one (1) at a time. Two (2) of the bedrooms have private bathrooms. The other two (2) full bathrooms have proper grab bars and non-skid mats. The other half bathrooms also have grab bars. All the bedrooms have proper bedding, chairs, nightstands, lamps in addition to overhead lighting.