Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola, conducted an announced visit for the purpose of conducting the prelicensing inspection. LPA met with applicants Maricel Nepomuceno and Allen Medina for the visit. The applicant is seeking an initial application for an residential care facility for the elderly with a capacity for (6) residents, ages 60 and up.

LPA conducted a walk through of the interior and exterior of the facility. The home is a (5) bedroom, (3) bathroom, one story home with attached garage. The fire clearance conducted by Riverside County Fire Department was approved the home for (5) non-ambulatory residents and (1) bedridden resident in the master bedroom. The other resident bedrooms were observed to have the required furniture. (2) First aid kits were observed, and emergency supplies in the facility kitchen. The facility kitchen has enough pots and pans, cooking utensils, plates and cups for (6) Residents. The kitchen had the required food items. Kitchen knifes will be kept locked with cleaners under the sink. The laundry room was observed was in good repair and the facility possesses cleaning supplies to conduct regular cleaning of the facility. These items are located in the facility locked garage, and locked in the laundry room. The outdoor area was (1) exit and was found to be free of hazards. The land line was observed to be operational (951-506-3838). No bodies of water or firearms are being kept in the facility.

An exit interview was conducted were this report was reviewed and provided to the applicant Maricel Nepomuceno.