Pre-licensing visit·September 9, 2024

Licensing Program Analyst (LPA) Bernadette Allen and Renese Howell-Small conducted an announced visit to the facility for the purpose of a Pre-Licensing evaluation to operate a Residential Care Facility for the Elderly (RCFE) f or a total capacity of 6 non-ambulatory residents. LPA's met with Lariza Holcomb Ramos-Administrator . LPA's Allen and Small observed the following: Structure: Facility is a single-story home with four (4) bedrooms and two (2) bathrooms, one (1) bathroom is in the master bedroom, and one (1) bathroom is located in the main hallway. There is a living room, dining area, and kitchen. Heating/Cooling System: Central heating and air conditioning systems. Bedrooms: All bedrooms were adequately furnished with bed, chair, large closets, appropriate linens, adequate lighting, and an operational smoke alarm and fire extinguishers. Bathrooms: Bathrooms have a working toilet, wash basin, and shower with handrails and non-slip mats. There was an adequate supply of towels, toilet paper, and toiletries. Water temperature measured at 105- 111 degrees F. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Cleaning supplies and knives/sharp instruments were secured in a locked cabinet and/or drawer. There was adequate room for food storage. Refrigerator/freezer were in working condition. There was adequate seating for meals. The washer/dryer and cleaning supplies were locked in the garage. Living/Family room: Furnished with safe and adequate seating and furnishings. All items appear to be in good repair. Linens and Hygiene Supplies: An adequate supply of linens was available for the clients in care. Yards/Outside: There was a covered area with adequate seating for staff and clients. There were no obstructions. There were no bodies of water observed anywhere on the property. Garage: Garage was organized and free of obstructions. Emergency Phone Numbers, and Exit Plan: Let-Us-KNOW poster and clients rights are posted. General items: LPA's observed a working facility phone. LPA's reviewed COMPONENT III with the applicant during this Pre Licensing Inspection. This facility physical plant is prepared for licensure at this time. A copy of this report was discussed and provided to Lariza Holcomb Ramos-Administrator at the conclusion of the visit.