Tarcila's Grove

Type of visit: Prelicensing

On 07/23/2026 at 1:00 p.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an announced pre-licensing inspection and met with Administrator/Licensee (ADM/LIC) Jocelle Harrison. The facility is Residential Care Facility (RCFE) for adults 60 and over. The facility has approved fire clearance for 5 (five) non-ambulatory residents and 1 (one) bedridden. At the time of inspection there are no residents observed. At 1:35 p.m. LPA with ADM/LIC toured the facility inside and outside. The facility has a kitchen, dining, living 5 bedrooms and 2 bathroom. The facility has ramps inside and outside. LPA with ADM inspected the entry way, 2 bathrooms, 5 resident bedrooms, kitchen, dining, and living room. 1 out of 5 resident bedroom is shared, 4 out of 5 bedrooms are private. The facility has 3 designated exit routes per LIC 610D (emergency and disaster plan), front door and 2 back door. Hallways are are free from obstruction and easily accessible in case of an emergency. The facility has carbon monoxide and smoke alarm detectors combination and is centrally wired. The facility is a one floor building and has a gate to south side of the building that stays unlock and has access to and from the street. LPA observed the facility has a covered porch near the dining area and is furnished with outdoor furniture. LPA observed the kitchen is equipped with kitchen appliances such as but not limited to refrigerator, dishwasher, stove with oven. The kitchen has plates, bowls, cups, drinking glasses and utensils LPA observed no perishable foods, and observed 7 days’ supply of non-perishable food. The facility has one fire extinguishers placed near the kitchen. SEE LIC 809C page 1 of 2 The facility has first aid that is complete and are accessible to staff. The laundry area is located in the garage. Cleaning supplies, laundry detergents, and other toxic supplies are stored in a secured and locked cabinets. Kitchen knives are in a locked drawer and not accessible to residents without supervision. Food pantry are separated from the chemicals, toxins and laundry detergents. The facility has a medication cabinet that is secured and locked. The facility has a working telephone system. The facility has 3 cameras in the common area (dining, living and hallway of the resident's room). No cameras were observed at the back exterior and private areas 1 camera was observed outside by the front entry way. ADM stated that the camera does not record audio, retains visual recording for 30 days. 1 out of 2 bathroom is located by the hallway and 1 out of 2 is located inside the shared bedroom. 2 out of 2 bathroom are equipped with grab bars and anti skid mats. Facility's has a sign-in sheet, licensing complaint poster, personal rights, emergency and disaster plan, and emergency floor plan exit routes. The facility has alarm system to notify staff when a resident needs assistance or leaves the facility without notice. 5 out of 5 resident bedrooms have adequate lighting, bed with mattress, linens, drawer dresser storage and closet space that is sufficient to store clients’ personal belongings. The bathrooms contains sufficient amount of hygiene products, paper supplies, hand soaps and sanitizers, and a trash bin with lids. Hot water temperature measured from 105 degree Fahrenheit. No corrections were observed that needs to be addressed by the applicant. Component III was presented to the applicant and LPA addressed questions during the presentation. The physical plant meets the requirement for RCFE with dementia care program. Approval of license is pending until completion of all documentation and approval from the Adult and Senior Care (ASC) Centralized Application Bureau (CAB) has been received by the applicant. This report was reviewed with Applicant/Administrator/Licensee Jocelle Harrison. A copy of the report was provided. Page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Jul 23, 2026