Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an announced visit with applicant Applicant Jeanette Marrujo. The purpose of the visit was to conduct the Pre-Licensing for the facility listed above.

An application was submitted to CCLD on 12/5/2022, for a Change of Corporation of an Adult Residential Facility. Application requested a capacity of 4 clients and has an approved fire clearance for up to (4) Bedridden clients. Facility is currently operating under active license # 198601589 .

Facility is a one story family home with four (4) bedrooms. There are (3) bathrooms, living room, a den, a kitchen, central air and heating, dining area, laundry room, a shaded area located in the backyard. an attached car garage inaccessible to clients. The residence is equipped with air conditioning

Accommodations : Adequate accommodations observed throughout facility. Lighting: Sufficient Lighting throughout. Hallway and Doorways: Free and clean of obstruction and debris. Client Rooms: Bedrooms #1-#4 are for up to (1) bedridden Client each. All bedrooms are equipped with: overhead lighting, chair, night stand, lamp in addition to overhead lighting, large drawer, and closet space, and beds for each resident. Bathrooms: Bathrooms have a working toilet, wash basin, shower, grab bars and nonskid mats. Linens & Hygiene Supplies: Required linen/supplies which include, pillowcase, fitted sheet, blankets, bedspreads. Mattress pads were observed. Emergency Phone Numbers, Exit Plan & Menu: Facility has a working phone landline. There is (1) cordless phone for client use. Fire Extinguisher fully charged and up to date. Food Service: All food and adequate utensils such as, dishes, cups, bowls and plates are stored at the other location until residents move in. Knives, cutlery and other sharps inaccessible to clients kept in a locked cabinet....