Facility Evaluation Report

Licensing Program Analyst (LPA) Jenifer Tirre made an announced inspection visit to follow up on corrections identified during Pre Licensing visit on 05/21/2024. LPA identified themselves and discussed the purpose of the visit with Licensee Maria Teresa Misa. An initial application to operate a Residential Facility Care for the Elderly was submitted to CCL on 1/29/2024. There are 0 residents in care during today's visit. LPA observed the following:

At 11:35 AM LPA toured the facility and observed the following:

· Let Us Know Poster is proper size 20x26 and posted near entrance

· Facility has proper First Aid Handbook, Tweezers and Thermometer

· Facility has obtained emergency water supply

· Facility closed off passageway door from common area restroom and Caregiver room

· Facility closed off door between two resident rooms

· Facility has internet access device for residents use

LPA conducted Component III during visit with Administrator Misa. Noted items from visit on 05/21/2024 have been addressed. The facility is ready to be licensed.

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