Pre-licensing visit·May 26, 2022

On 05/26/22 at 3:30pm, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct a Change of Location Pre-licensing Required inspection. LPA met with Applicant/Administrator and explained the purpose of the visit. The facility currently has no residents living at the facility. LPA observed COVID signages posted in the front entrance, common areas and bathrooms. LPA toured facility including but not limited to 4 bedrooms, 2 bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture (night stand, chair, closet, beds dresser). Bathrooms were equipped with grab bars and shower mats. Linens and hygiene supplies were observed inside hallway cabinets. There is sufficient lighting throughout facility. Room temperature was maintained at 74 degrees F and hot water temperature was maintained at 108.5 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 04/26/22. Pathways inside and outside were free of fire hazards and obstruction. LPA observed facility has completed COVID-19 mitigation plan dated 05/01/22 and Emergency/Disaster plan dated 04/14/22 posted in bulletin boards located near the main entrance. LPA discussed the COVID mitigation plan with ADM who stated she will incorporate the COVID infection control plan in the facility's plan of operation and submit a copy to CCLD before 06/30/2022. No deficiencies were observed during visit. Facility is ready to be licensed.This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided via email.