Facility Evaluation Report

Licensing Program Analysts (LPA) Kimberly Lyman and Andrea Mendivil made an announced visit to follow up on a pre-licensing inspection conducted on 03/10/2022. LPAs identified themselves and discussed the purpose of the visit with Administrator/ Licensee Jonathan Martinez. An initial application to operate a Residential Care Facility for the Elderly was received by CCL on 02/17/2022 for a capacity of five non-ambulatory residents and one bedridden.

At 9:37 AM, LPAs toured the facility and observed the following:

Facility has covid pre-caution postings in the entrance of the facility.

Bricks have been removed from the entry path.

Facility has implemented a covid screening station in the entrance of facility with a sign in sheet/ questionnaire.

Facility has posted the "Let Us No" poster in regulation size.

Hand washing signs are posted in the restrooms.

Water temperature tested between 109 and 111 degrees F in facility restrooms.

Bed frames have been obtained for beds in room #2.

Facility has ample supply of drink ware and bowels.

Facility has ample supply of PPE on-site.

Facility has shaded outdoor seating in the backyard.

Facility has a secured area for sharps and toxins.

Facility is ready to be licensed. Exit interview conducted and a copy of this report was left at the facility.