Facility Evaluation Report

On 12//2023, Licensing Program Analyst (LPA) Grace Donato conducted an announced Pre-Licensing Inspection visit. LPA met with Licensee, Jevelyn Chan & Administrator Claire Ascalon.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA observed the indoor and the outdoor passageways are free of obstruction. Facility is single level with 5 rooms. All rooms are observed with required furniture and lighting, bathrooms to be odor-free and in good repair and have grab bars and Hoyer lift.

Facility lighting is sufficient for comfort and safety. LPA toured the kitchen area and observed it to be clean. Facility refrigerator temperatures are within regulatory standards. Chemicals & sharps have their own locked storage. All fire prevention systems such as smoke detectors, carbon monoxide detectors, fire extinguishers have been inspected in place.

Component III is also conducted on this day.

Facility is clean and in good repair based on observations made today. Facility is in compliance with Title 22 regulations. No citations are issued.