Facility Evaluation Report

On 10/06/2023 8:53 AM, the Licensing Program Analyst (LPA), Regina Cloyd, conducted an announced visit to the facility for purpose of a pre-licensing evaluation. Today’s pre-licensing evaluation was conducted with Christian Espino, Administrator.

An application was submitted to CCLD on 08/10/2023, for a Change of Ownership (CHOW) for a Residential Care Facility for the Elderly to serve residents who are 60 years and older. The requested capacity is for six, (5) five non-ambulatory and (1) one bedridden. Fire clearance approved on 08/02/2023.

Facility is a two-story house with (8) eight bedrooms (Bedrooms 1-5 are for residents and Bedrooms 6-8 are upstairs staff rooms), (3) three bathrooms (two downstairs for residents and one upstairs for staff), (1) one dining area/family room, (1) one kitchen, laundry room, backyard, stairs, and 2-car garage. Bedroom Five is designated as a shared (bedridden and non-ambulatory) room. The private bedrooms are spacious and will easily accommodate the client's furnishings.

All bathrooms have a working toilet, wash basin, and shower. There are two bathrooms that will accommodate non-ambulatory residents in a wheel chair.

Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen in storage room.

Fire extinguisher located near the kitchen was serviced 02/10/2023.