Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela conducted an initial pre-licensing inspection and met with applicant Alma Corsiga who will be the Administrator once the facility is approved for licensure. The facility has a fire clearance approval from the Fairfield Fire Department of 2 ambulatory and 2 non-ambulatory, for a total capacity of 4 residents. The facility does not have a fire clearance approval to accept or retain bedridden residents. The facility has an approved Hospice Waiver for 2 residents and a Dementia Care Plan within their Plan of Operation. Facility will operate with live-in staff and Licensee will ensure sufficient staffing at all times.

During today’s visit LPA observed the following items:

· COVID-19 screening station with visitor log.

· Lockable separate cabinets for medications, toxins/cleaners, and knives.

· 10 hardwired smoke detectors, which were tested and observed operational

· 1 carbon monoxide detector, tested and observed operational

· Complete first Aid kit, night-lights, and flashlights for emergency lighting

· The water temperature was tested during inspection and was within regulation of 105-120 Degrees F. Report continued on LIC 809-C...