Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez and Hanna Gough made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA met with designated Administrator (AD) Shirley Hills. An application to operate a Residential Care Facility for the elderly (RCFE) for (6) capacity, (0) ambulatory, (5) non-ambulatory, and (1) bedridden residents was received by CCL on August 21, 2024.

The facility is a two-story house with four bedrooms downstairs and 2 bedrooms upstairs, two bathrooms downstairs and one bathroom upstairs, one living room, one kitchen, one dining room, and attached two car garage. LPA observed a fire place in the living room that has a screen covering. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the entranceway. There is a backyard with an exit gate on each side of the house with one as the emergency exit as designated on facility sketch. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard.

All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets.

All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents.