Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown conducted an announced visit to the facility 04/04/2022 for the purpose of a Prelicensing Visit. At 9:30 AM, LPA met with Administrator Fritzie Subaan and Applicant Norlina Ruiz . An initial application for license to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 12/08/2021 for a total capacity of four (4). Fire clearance was granted on 12/20/2021 for four (4) non-ambulatory residents. LPAs Brown observed the following:

Facility was a two (2) level house with five bedrooms; two bedrooms in the main floor for residents and three (3) staff bedrooms at the second level., three resident/staff bathrooms, living room, dining area and kitchen. There is an attached two (2) car garage.

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

Each resident bedrooms accommodate any non-ambulatory resident. All resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke and carbon monoxide alarm.

The three staff/resident bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. At 11:30 AM, LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 107 degrees Fahrenheit.