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 Donald, Brigitte, Erin, and Mark FISK, applicants and explained the visit.

An initial application to operate an Adult Residential Facility for the Elderly, age 60 years and over, for (6) capacity, (2) ambulatory, (1) non-ambulatory, and (3) bedridden resident was submitted to CCL on 05/01/23.

The facility is a one story house with a garage with 6 resident bedrooms, 1 staff bedroom, 7 full bathrooms, a living rooms, a dining room, and a kitchen. The resident’s bedrooms are all private and are spacious, will easily accommodate the resident’s furnishings. There is a back yard with a patio and one exit walkway on one side of the house with seating for the residents. Air/Heating: Central air/heating system installed with a central panel to control entire house. Bedrooms Residents: Bedrooms will accommodate 6 residents with 6 private rooms. All 6 resident bedrooms have a full bathroom. Bedrooms Staff: Bedroom #4 is designated for staff. Bathrooms: Facility has seven full bathrooms. All bathrooms have a working toilet, wash basin, walk in shower. Linens & Hygiene Supplies: Adequate supply of linen in closet storage. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed. Menus posted and available. Menus prepared one week prior and listed for food serve for one week. Food Service: Adequate supply of 7-day non-perishable and 2-day perishables are stored in the kitchen. Smoke Detectors: Smoke detectors and carbon monoxide alert