Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Kathy Maghbouleh, Director/Administrator.

A change of ownership application to operate an Adult Residential Facility for the Elderly, age 60 years and over, for (15) capacity, (0) ambulatory, (15) non-ambulatory, and (0) bedridden residents was submitted to CCL on 05/22/2023.

The facility is a two unit one-story house each as unit A and Unit B. Unit A has 4 resident bedrooms, 1 staff bedroom, 2 full bathrooms, a living room, a dining room, and a kitchen. Unit B has 6 resident bedrooms, 1 staff bedroom, 3 full bathrooms, a living room, a dining room, and a kitchen. The resident’s bedrooms are spacious and will easily accommodate the resident’s furnishings. There is a large back yard with an exit walkway on one side of the house with 2 covered seating patios for the residents. Air/Heating:

Central air/heating system installed with a central panel to control entire house in each unit. Bedrooms Residents: Bedrooms will accommodate 15 residents combined in both units. Unit A will accommodate 6 residents with 2 private and 2 shared bedrooms. Unit B will accommodate 9 residents with 3 private and 3 shared bedrooms. Bedrooms Staff: Unit A bedroom #1 designated for awake-staff and unit B bedroom #7 designated for awake-staff. Bathrooms: All bathrooms have a working toilet, wash basin, and walk-in shower. Linens & Hygiene Supplies: Adequate supply of linen stored in bedroom hallway storage in both units. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed. Menus posted and available.