Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted an announced Pre-Licensing visit on today’s date. LPA arrived at facility was greeted and granted entry by Administrator Cherryl Sansano.

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 01/03/23.

Facility is a two story house with 4 resident bedrooms, 2 bathrooms, living room, dining area, and kitchen. Upstairs there are 2 staff bedrooms with 1 bathroom. There is an attached 2 car garage that houses the washer and dryer. The backyard has a shaded concrete area with seating for residents. The exit gate on the exterior of the home have self-closing and self-latching mechanisms.

The facility's central heating and air conditioning is controlled by a thermostat located in a hallway. All exit doors were equipped with an auditory alarm and were noted to be in operating condition.

All bedrooms accommodate non-ambulatory residents with bedroom #3 designated for a bedridden resident. The resident bedrooms accommodate residents' furnishings such as a bed, lamp, night stand, dresser drawers and a closet.