Facility Evaluation Report

Licensing Program Analyst (LPA) Sarah Hurt conducted an announced visit on to the facility on 02/10/2022 at 9 a.m. for purpose of a Pre-Licensing evaluation. LPA arrived and was granted entry to the facility by Applicant Voica Matis An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Unit (CAU) on 11/30/2021 for a capacity of six non-ambulatory residents.

Facility is a one story house with 4 resident bedrooms, 2 bathrooms, family / living room, dining area and kitchen. There is a 3 car garage attached in front of home. The resident bedrooms will accommodate residents' furnishings.

Central air/heating system installed with a central panel to control entire house.

Bedrooms #1-4 will accommodate 6 non-ambulatory residents

All bathrooms have a working toilet, wash basin, and walk-in/shower.

Adequate supply of linens is stored in hallway closet.

Emergency Phone Numbers, Exit Plan, and Sample Menu:

Will be posted and readily available for review in the living room.