Facility Evaluation Report

Licensing Program Analyst (LPA) Yolanda Delgado conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. At approximately 9:00 AM, LPA met with Kathleen Hyland. An initial application for Change of Ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 5/3/2024 for a total capacity of fourteen (14); ten (10) non-ambulatory and four (4) bedridden residents. Fire clearance was granted on 05/23/2024. LPA Delgado observed the following:

Facility was a one-story building with two (2) additional structures, thirteen (13) resident bedrooms, eight (8) resident bathrooms, living room, dining area and kitchen. There is no garage; one structure for food storage, personal hygiene storage and second structure is the laundry room and one (1) resident shared room.

Central heating and air conditioning system installed with a central panel located in the hallway to control the main building.

Each resident bedroom #101, #102, #103, #104, #105, #108, #109, #110, #111 and #112 will accommodate any non-ambulatory resident, bedrooms #106, #107 and #400 A&B will accommodate bedridden residents. 12 resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting. All resident rooms are furnished with a TV.