Pre-licensing visit·July 28, 2025

On July 28, 2025 Licensing Program Analyst (LPA), Deborah Lee conducted an announced visit to the facility for the purpose of conducting a pre-licensing evaluation. An application was submitted to CCLD, for opening a new Residential Care Facility for the Elderly (RCFE). Fire clearance approved for capacity of 6 non-ambulatory residents on May 21, 2025. LPA met with Kelechi Eronobi, Applicant and explained the purpose of today’s visit. LPA and Applicant toured the physical plant(inside and outside). Overview of Facility: Facility is a single-story home located in a residential neighborhood. Entry way of the home is clear and free of debris and obstruction. There are 3 resident bedrooms, 3 1/2 bathrooms, living/common room/ dining room (open concept spacing), kitchen and attached garage that houses the washer and dryer and will be used for storage space. The Resident's bedrooms are spacious and easily accommodate the resident furnishings. LPA observed that there are no bodies of water on the premises. Page 1 of 3 The shaded area and outdoor passageways, walkways, driveways, steps and patios are free from obstruction. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility Client Bedrooms: Bedrooms 1-3 have working lights, working windows with no bars. The residents room will be shared rooms. Bathrooms: All Bathrooms have a working toilet, wash basins and shower, and observed to be clean, safe, and sanitary. LPA observed adequate lighting throughout the entire facility. Linens & Hygiene Supplies: Extra linens are available to residents when need and located in closet within the common area . Living/common room is fully furnished with sectional sofa and mounted TV. There is adequate space for residents in care. Kitchen is clean and sanitary with appliances that are operational. LPA observed a 7-day supply of non-perishables foods. LPA observed the area where sharps and cleaning solutions will be locked and inaccessible to the Residents in care. The dining area is equipped with a 4 seated dinning set. Facility has a lanline phone for emergencies. There are 2 fully charged fire Extinguishers last service on 12/5/24 located in the kitchen area and entryway of the home. LPA observed all required postings: See something say something, resident rights, resident counsel, emergency disaster plan, facility sketch and exit signs. Page 2 of 3 Resident/Staff files: LPA observed that there is a confidential storage area where staff and resident files will be kept. Located in closet near common area. Medications: LPA observed that there is a locked centralized area where resident medications will be stored. Located closet near common area. Smoke Detectors: Facility smoke detectors/carbon monoxide detectors are hardwired and interconnected. They were tested and operable. Water Temperature: Tested at 107.5_degrees F. There are no corrections needed. Component III: Conducted during today’s Pre-Licensing visit. A copy of report provided to applicant Kelechi Eronobi Page 3 of 3