Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen conducted an announced visit to the facility for purpose of a pre-licensing evaluation. An initial application to operate a Residential Care Facility for the Elderly was submitted to the Central Applications Unit (CAU) on 05/21/2024 for a total capacity of 6 non-ambulatory. Fire Clearance was granted 06/20/2024. LPA Allen met with Patsara Chantharaseth- Administrator. LPA Allen observed the following:

Structure: Facility was a single story house with five (5) bedrooms, three (3) bathrooms, living room, dining area, office space, and kitchen area.

Heating/Cooling System: Central heating and air conditioning systems.

Bedrooms: All bedrooms were adequately furnished with bed, chair, large closets, appropriate linens, adequate lighting, and an operational smoke alarm and fire extinguishers.

Bathrooms: Bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Water temperature measured at 118 F.

Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Cleaning supplies and knives/sharp instruments were secured in a locked cabinet and/or drawer. There was adequate room for food storage. Refrigerator/freezer were in working condition. There was adequate seating for meals.

Living/Family room: Furnished with safe and adequate seating and furnishings. All items appear to be in good repair.