Facility Evaluation Report

Licensing Program Analyst's (LPA) Jenifer Tirre and Michael Tea made an announced inspection visit to follow up on corrections identified during Pre Licensing visit on 05/3/2024. LPA's identified themselves and discussed the purpose of the visit with Licensee Tin Le. An initial application to operate a Residential Facility Care for the Elderly was submitted to CCL on 3/10/2024. There are 0 residents in care during today's visit. LPA's observed the following:

At 2:00 PM, LPA's toured the facility and observed the following:

a secure door knob/lock was observed on staff room

Facility has First Aid kit & First Aid Manual

Facility has a tablet device with internet for resident use

Adequate perishable & non- perishable foods

Facility has Fire Extinguisher tagged by Fire department

Audible alarms are operational on all sliding doors

Facility has call buttons for resident rooms that notify inside kitchen area

Licensee ordered Pub 475 poster in correct size and waiting to receive. Licensee to provide proof of poster upon delivery to LPA.

Licensee confirmed that phone company is scheduled to set up land line phone on 5/8/24. Licensee to provide proof of phone set up with new land line phone number by 5/8/24. Licensee using cell phone number until land line is operable

Noted items from visit on 05/03/2024 have been addressed.

Exit interview conducted with Licensee and a copy of this report was left at the facility.