Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPA met with Licensee Charles Pham. An application to operate a Residential Care Facility for the Elderly (RCFE) for (6) capacity, (3) ambulatory, (2) non-ambulatory, and (1) bedridden residents was received by CCL on January 29, 2024.

The facility is a one-story house with five bedrooms, three bathrooms, a living room, a kitchen, and attached two car garage. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the entranceway. There is a backyard that wraps around to the front yard on one side of the home and an exit gate on the opposite side. There is a shaded seating area in both the front and back yard of the home, and LPA did not observe any obstacles or hazards.

All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets.

All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and will be stored and locked underneath the kitchen sink and in the garage.

Medication will be stored in a locked closet. First aid kit is stored with the medication. The first aid kit has all the required elements.