Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA arrived at facility was greeted and granted entry. LPA met with Levita Hogan, applicant and explained the visit.

An initial application to operate an Adult Residential Facility for the Elderly, age 60 years and over, for (6) capacity, (3) ambulatory, (2) non-ambulatory, and (1) bedridden resident was submitted to CCL on 02/05/24.

The facility is a two story house with an attached garage with 3 resident bedrooms, 1 staff bedroom, 2 full bathrooms, a living rooms, a dining room/kitchen on the first floor. The second floor of the facility will be occupied by licensee with three bedroom and 1 full bathroom. Staircase has a locked gate for inaccessibility to resident, no resident will reside on the second floor. The resident’s bedrooms on the first floor are spacious and will easily accommodate the resident’s furnishings. There is a gated pool in the back yard, seating areas for resident and an exit walkway on each side of the house. There is resident shaded seating on the front yard of the facility that is enclosed with a gate. Air/Heating: Central air/heating system installed with a central panel to control entire house. Bedrooms Residents: Bedrooms will accommodate 6 residents with 3 shared room accommodating two residents. Bedroom 1 will accommodate 2 ambulatory residents, bedroom 3 will accommodate 2 non-ambulatory residents, and bedroom 4 will accommodate 1 bedridden and 1 non-ambulatory residents. Bedrooms Staff: Bedroom 2 is designated for live in caregiver. Bathrooms:

Facility has two full bathrooms on the first floor. All bathrooms have a working toilet, wash basin, walk in shower. Linens & Hygiene Supplies: Adequate supply of linen in storage. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting