Facility Evaluation Report

On 08/16/22, Licensing Program Analyst (LPA) Perry Scott/LPM Janae Hammond conducted an announced visit to this facility for the purpose of pre-licensing. We were greeted by administrator Jerissa Bucu and Jonna Lamb (admin) explained the purpose of today’s pre-licensing inspection visit.

An application was submitted to CCLD on 07/01/22 in the initial license application for a Residential Facility for the Elderly, ages 60 years and above. The applicant requested a capacity of six (6) individuals, of which may be five (5) non-ambulatory, and one (1) bedridden; with a hospice waiver for 4.

The home is a four (4) bedroom, three (3) bathroom, one-story home with a one (1) car garage situated in a residential neighborhood. The home includes a living, dining, kitchen, and laundry area. The living area included recliners and a table. The kitchen has a refrigerator and stove. The rear exterior is fenced throughout. The passageways, walkways, and steps are free from obstructions.

The facility has four (4) bedrooms for residents and staff. Bedroom #1 is approved for one (1) non-ambulatory and one (1) bedridden. Bedroom # 2 is approved for two (2) non-ambulatories. Bedroom # 3 is approved as a staff bedroom. And bedroom # 4 is approved for two non-ambulatory residents. All rooms include a full- or twin-size bed , one (1) chair, one (1) nightstand, and one (1) table lamp. All bedrooms are equipped with a ceiling light. All rooms had a dresser, which complies with the requirement of 8 cubic feet of space. All rooms had closets for ample storage.