Pre-licensing visit·June 12, 2025

On 06/12/2025 at 1:00PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. This is a continuance from the previous visit conducted on 06/10/2025. LPA met with Licensee, Bharat Verma and explained the purpose of the visit. On 06/10/2025 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. No bodies of water observed. There is sufficient lighting around the facility. Residents’ rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non-skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. A comfortable temperature was observed at 74 degrees. Hot water temperature is measured at 112.8 degrees Fahrenheit in shared residents' bathroom. Fire extinguisher was last purchased on 05/21/2025. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. Facility inspection matches the sketch that was provided Continue on LIC809C Continued from LIC809 The applicant 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, or by fax. On 06/10/2025 Waiver of COMP III was approved by Licensing Program Manager H. Humpal. LPA observed facility has made the corrections from previous visit on 06/10/2025. LPA observed the facility is ready to be licensed. This report will be submitted to the central application 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