Facility Evaluation Report

On March 10, 2025, at 9:00 AM, Licensing Program Analyst (LPA) Edward Kim made an announced visit to conduct a subsequent pre-licensing inspection. LPA Kim was greeted and granted entry by Applicant Israel Sanchez and explained purpose of the visit.

The applicant requested a capacity of 5 ambulatory residents and 1 nonambulatory resident. The facility is a one-story house in a residential neighborhood with an attached 2 car garage with five (5) bedrooms, three bathrooms, dining room, a kitchen, and living room

During a tour of the facility, LPA Kim observed that the following items have been corrected:

1) Stove top right burner has been repaired and is in working order.

2) Bedroom #4 has two beds that meet all necessary bedding requirements.

Component three Orientation was completed with Applicant Israel Sanchez during visit.

All items have been corrected. No new deficiencies were observed. The facility is ready for licensure.

The pre-licensing visit and Component III Orientation are now complete. It appears this facility meets the requirements for licensure. LPA Kim will forward this report to the Centralized Applications Bureau for review. The license will be granted upon completion of a final review and approval from the Centralized Applications Bureau.

An exit interview was conducted, and a copy of this report was provided to Applicant Israel Sanchez