Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at the facility announced at 7:59 a.m. to conduct a pre-licensing inspection. LPA met with Administrator Patricia Hernandez. This is a change of ownership application from Jireh Senior Home to Jireh Senior Home Corporation. The current census is three (3) residents. The fire clearance was granted on 03/17/25; in which four (4) rooms were cleared for non-ambulatory residents and the master bedroom allows for two (2) bedridden residents. Component III was reviewed for with applicant for reminders and updates as the applicant currently operates a Residential Care Facilities for the Elderly (RCFE)’s in good standing.

The LPA toured the physical plant areas, inside and outside, with the applicant to ensure there are no health and safety hazards and to ensure the facility is in compliance with Title 22 Regulations.

BEDROOMS : There are four (4) bedrooms in the facility for resident use. Master bedroom has door to the outside, this is the only room approved for bedridden residents. Lighting in the rooms appeared adequate. All rooms were set up with beds, night stands, lamps, chests of drawers, chairs and closet space.

BATHROOMS : There is two (2) full bathrooms for resident use. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms. All items that could pose a danger were in locked cabinet under sink.