Facility Evaluation Report

On 12/16/2024 at 09:10 AM, Licensing Program Analyst (LPA) Melody Brown conducted an announced visit to the facility for purpose of Prelicensing evaluation. LPA Brown met with Applicant/Administrator Alonso Martinez. An initial application to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 06/20/2024 for a total capacity of six (6) of which six (6) can be nonambulatory. Fire clearance was granted on 09/09/2024 for six (6) non-ambulatory residents. LPA Brown observed the following:

Facility was a one (1) story house with four (4) resident bedrooms, one (1) staff bedroom and three (3) bathrooms, living room, dining area/kitchen and laundry. There was an attached two (2) car garage in front of the house.

Central heating and air conditioning system installed with one (1) central panel located in the hallway to

Each resident bedrooms accommodate any nonambulatory residents. All resident bedrooms were adequately furnished with bed, chair, closet, dresser, appropriate linens, adequate lighting, nightstands, a lamp and an operable smoke detector.

The three (3) resident/staff bathrooms have a working toilet, wash basin, grab bars, customized flooring in the resident/staff shower and tub with an adequate supply of toilet paper and soap. LPA Brown tested the water temperatures in the staff/residents' bathrooms. ***CONTINUED ON LIC 809-C***