Pre-licensing visit·May 15, 2025

On 05/15/2025 at 2:30PM, Licensing Program Analysts (LPA) T. Syess-Gibson and C. Fowler conducted an announced pre-licensing inspection. This is a continuance from the previous visit conducted on 05/08/2025 LPA met with Licensee, Robert Johnson and Administrator, Filicia Johnson. LPA explained the purpose of the visit. On 05/08/2025 at LPA toured facility including but not limited to resident's bedrooms, bathrooms, living room, dining area, kitchen, garage, and outdoor area. LPA observed lighting in all rooms. LPA observed facility had some perishable and non-perishable food supply. Licensee will purchase additional food supplies once facility is licensed. Smoke and Carbon monoxide detector was observed in operating condition. First aid kit was complete. Fire extinguisher was observed to be full and was purchased on 05/23/2024. Hot water was measured at 109.3 degrees F. Emergency disaster plan was complete. On 05/15/2025 LPA toured the facility and observed Licensee/Administrator made corrections from previous visit on 05/08/2025. Continue on LIC809C Continued from LIC809 LPA Conducted COMP III on 05/15/2025. The licensee/administrator was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, email, or by fax. No Issues were noted during inspection. LPA observed that 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.