Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at the facility announced at 3:03 p.m. to conduct a pre-licensing inspection. LPA met with Administrator Aurea Alejandro. This is a change of ownership application from Pedflor Alejandro, LLC. to Pedflor Alejandro I LLC. The current census is three (3) residents. The fire clearance was granted on 12/18/24; in which two (2) rooms were cleared for non-ambulatory residents and one (1) room for bedridden residents. Component III was reviewed with administrator for Residential Care Facility for the Elderly (RCFE)’s.

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

BEDROOMS : There are four (4) bedrooms in the facility; the facility has three (3) rooms for resident use, and one (1) staff room. Staff room is kept locked. All resident rooms have doors to the outside. 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 bathroom in the hallway is designated for staff and resident use, one (1) bathroom is in a private room designated for resident use. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms.