Facility Evaluation Report

On 04/08/24, at 10:05am, 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 02/01/2024, Initial license for a Residential Care Facility for the Elderly (RCFE), 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 only designated room # four (4) for bedridden use.

Facility is a single-story home. Today's site visit consisted of LPA touring the physical plant at 10:25 AM inside and outside and observed the following:

There is no bedroom designated for staff.

There is a total of four (4) bedrooms. There shall be no more than two (2) clients per bedroom if used for non-ambulatory. Only one (1) is cleared for bedridden which is bedroom # 4 (four). There is three (3) other bedrooms in the house. One (1) of the bedrooms, bedroom # three (3) has a private bathroom. There are two (2) other bathrooms which proper grab bars and non-skid mats. All the bedrooms have proper bedding, chairs, nightstands, lamps in addition to overhead lighting.