Pre-licensing visit·June 10, 2025

On 06/10/2025 at 10:20am, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. LPA met with Bharat Verma, Licensee/Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for six (6) non ambulatory residents. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has six (6) bedrooms and two and half (2 1/2) bathrooms. There is sufficient lighting around the facility. There were no bodies of water present during inspection. Carbon monoxide and smoke detector was observed in operating condition. LPA observed two (2) out of the six (6) residents’ bedrooms are equipped with the proper furniture, bedding, and lighting. LPA observed Bathrooms showers/tubs were equipped with grab bars. LPA did observe nonskid mats in bathrooms shower/tubs. Continue on LIC809C Continued from LIC809 Passageways and hallways are free of obstruction. Locked cabinets available to store medications and toxins. Hot water temperature is measured at 112.8 degrees Fahrenheit in shared residents' bathroom. A comfortable temperature was observed at 74 degrees. Fire extinguisher was last purchased on 05/21/2025. First-Aid kit was observed complete. Facility inspection matches the sketch that was provided. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1.) LPA observed four (4) out of the six (6) resident's bedrooms does not have a chest of drawers 2.) LPA observed facility has stacked cardboard boxes in the garage obstructing passageway 3.) LPA reviewed dementia plan and observed the plan does not address behavior such as ingestion of toxic chemicals. Waiver of COMP III was approved by Licensing Program Manager H. Humpal. Licensee/Applicant will submit proof of corrections to CCLD by 06/12/2025. Exit interview conducted and a copy of this report provided .