Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted an announced visit to the facility for purpose of a pre-licensing evaluation.

An initial application to operate an Adult Residential Facility for the Elderly, age 60 years and over, for (6) capacity, (0) ambulatory, (5) non-ambulatory, and (1) bedridden resident was submitted to CCL on 09/06/22.

The facility is a one story house with an attached garage with 5 resident bedrooms, 3 full bathrooms, 1 TV room, a kitchen. The resident’s bedrooms are spacious and will easily accommodate the resident’s furnishings. There is a large back yard with 1 exit walkway on the side of the house with covered patio seating for the residents.

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

Bedrooms are for 0 ambulatory, 5 non-ambulatory, and 1 bedridden resident. Bedrooms will accommodate 6 residents with 4 private rooms and 1 shared room accommodating two clients. Bedrooms 1 and 5 have a full bathroom.

Single story building located in back yard designated for awake-staff.