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25 | Licensing Program Analyst (LPA) Amber Coleman and LPA Anna Bueno conducted an announced visit to the facility for purpose of completing a Pre-Licensing evaluation. An initial application to operate a Residential Care For the Elderly facility (RCFE) was submitted to the Central Applications Unit (CAU) on 9/16/2021 for a total capacity of eight ambulatory and two non-ambulatory residents. This evaluation is a follow up visit to the initial Pre-Licensing Evaluation on 3/8/22. Fire Clearance was granted 11/17/2021/ LPA Coleman observed the following:
Structure: Facility consists of a 2 stories, 5 bedrooms, living room, dining room, a den, kitchen and 2 car garage.
Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house.
Bedrooms: Each resident bedroom will accommodate ambulatory residents, including 1 non-ambulatory downstairs. All resident bedrooms were adequately furnished with beds, dresser, night stand adequate lighting and an operational smoke alarm. Bathrooms: All three bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Water temperature measured by LPA and Administrator tested at a range of 113 degrees to 119 degrees.
Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Cleaning supplies and knives/sharp instruments were secured in garage. There was adequate room for food storage. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals Laundry area with washer and dryer were located near the garage exit.
Living/Family room: There is one living room, a den and 2 eating spaces. Each of the areas are safe with adequate seating and furnishings are in good repair.
Linens and Hygiene Supplies: An adequate supply of linens was available.
Yards/Outside: The back was completed was a patio with adequate covered area for providing shade. There were no obstructions. There were no bodies of water observed anywhere on the property.
Garage: There was a washer and dryer located inside the garage in the facility. Laundry detergents and cleaning solutions were secured behind the locked garage door. Garage was organized and free of obstructions.
Emergency Phone Numbers, and Exit Plan: Let-Us-No poster, Ombudsman poster and rights to resident and family councils posters are missing. Personal rights were posted.
General items: The facility has smoke alarms and carbon monoxide detectors; both tested and found operational. The facility had no grab bars for resident. Resident records storage space has been selected for a secure file cabinet near the rear exit door. LPA observed a facility phone and it was verified to be operational. |