Facility Evaluation Report

On 09/25/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an announced pre-licensing visit to the facility listed above. LPA met with Licensee, Ke Sun, and the purpose of today’s visit was explained. There are five (5) residents residing in the facility.

An application was submitted to CCLD on 05/08/24 for a change of ownership. The facility is a Residential Care Facility for the Elderly serving residents aged 60 and over of which 6 can be non-ambulatory.

Physical Plant The facility is a single-story home in a residential neighborhood. The home consists of four (4) resident bedrooms, staff room, three (3) bathrooms, living room, sitting room, office area, kitchen, laundry room, detached garage, front and back yard. LPA observed a shaded patio with table and chairs. All windows and screens were observed clean and in good repair. There is a jacuzzi on the patio that has a locked cover and is inaccessible to residents. LPA observed all walkways to be clean, clear, and free of debris, hazards, and obstructions. All fences open easily from the inside to exit. The facility does have a fireplace that is screened and inaccessible to residents.

Bedrooms LPA inspected all resident rooms and observed them to be clean and in good repair. LPA observed the rooms have the required furniture including a bed,