Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen and Renese Howell-Small conducted an announced visit to the facility for the purpose of a Pre-Licensing evaluation to operate a Residential Care Facility for the Elderly (RCFE) f or a total capacity of 6 non-ambulatory residents. LPA's met with Lariza Holcomb Ramos-Administrator . LPA's Allen and Small observed the following:

Structure: Facility is a single-story home with four (4) bedrooms and two (2) bathrooms, one (1) bathroom is in the master bedroom, and one (1) bathroom is located in the main hallway. There is a living room, dining area, and kitchen.

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 handrails and non-slip mats. There was an adequate supply of towels, toilet paper, and toiletries. Water temperature measured at 105- 111 degrees 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. The washer/dryer and cleaning supplies were locked in the garage.

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