Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez and announced visit to the facility for purpose of a pre-licensing evaluation. LPA arrived at the facility was greeted and granted entry by Administrator.

An initial application to operate an Adult Residential Facility for the Elderly, age 60 years and over, for (6) capacity, (0) ambulatory, (6) non-ambulatory, and (0) bedridden residents was submitted to CCL on 06/18/2021.

The facility is a one-story house with an attached garage with 4 resident bedrooms, 1 caregiver bedroom, 1 living room, 1 dining room, and a restaurant style open kitchen, and 2 full bathrooms. The resident bedrooms are spacious and will easily accommodate the resident’s furnishings. There is a large back yard with 2 exit ways on each side of the house with shaded seating area for residents.

Central air/heating system installed with a central panel to control entire house.

4 Bedrooms are for 6 non-ambulatory residents. Bedrooms will accommodate 6 residents with 1 room being private rooms and 3 shared room.