Facility Evaluation Report

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. LPA met with Administrator, Vanessa Cyprian. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on 09/30/2024 for a total capacity of four (4) residents. Fire clearance was granted on 11/22/2024. LPA Kathleen Banrasavong observed the following:

The structure is two story house but the 1st floor in the facility is where the residents would be living. There are two (2) residents’ bedrooms, three (2) staff bedrooms, one (1) residents’ bathroom, two (2) staff bathroom, living room, dining area and kitchen. There was a separate two (2) car garage. There is not a pool.

Central heating and air conditioning system are installed and operable. Temperature was set at 74 degrees.

Each resident bedroom #1, #2 were in good repair. Two (2) bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and eight (8) operable dual smoke and carbon monoxide alarms.