Facility Evaluation Report

Licensing Program Analysts (LPAs) Joseph Alejandre and Edward Kim conducted an announced visit to the facility to conduct the pre-licensing inspection. LPAs met with Applicant Christina Atencio and toured the facility.

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to CCL on December 18, 2023. The facility is to have a capacity of 6, of which 5 can be nonambulatory and 1 bedridden. Applicant has requested a hospice waiver for 6 residents. Facility phone number 424-271-9350. LPAs observed the following.

The facility is a one story house with an attached 2 car garage with 7 bedrooms (1 is for staff), 7 full bathrooms, 1 half bathroom with no shower, 1 office (no closet), dining room, a kitchen and living room with a screened fireplace. There are 4 exits, one exit door in the kitchen, one in the hallway outside of bedroom 7, the front door and the exit in bedroom 1 which is approved for 1 bedridden resident.

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

There are 6 Resident Bedrooms and each bedroom is private. The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings.

Bedroom 5 is designated as the staff bedroom.