Pre-licensing visit·February 3, 2026

On 02/03/2026 at 9:43AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. This is a continuation from the previous visit conducted on 01/28/2026. LPA met with Hazel Ann Alban, Licensee/Mildred Balancio, Administrator and explained the purpose of the visit. On 01/28/2026, LPA toured the facility with Licensee/Administrator including but not limited to the residents' bedrooms, bathrooms, kitchen, common areas, garage, and outdoor area. LPA observed facility has sufficient lighting throughout the facility. There were no bodies of water observed. The facility consists of five (5) bedrooms one (1) bedroom occupied by staff, and three (3) bathrooms. LPA observed non-skid mats and grab bars in showers. There is activity materials observed in the living room. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was purchased on 10/24/2025. Emergency/Disaster plans/contact information, personal rights were observed posted in common areas. On 02/03/2026 LPA toured the facility and observed Licensee/Administrator made corrections from previous visit on 01/28/2026. Continue on LIC809C.... . Continued from LIC809 LPA Conducted COMP III on 02/03/2026. 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 made by phone, by mail, by 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.