Pre-licensing visit·May 25, 2023

Licensing Program Analyst (LPA) K.Kaur conducted a Pre-licensing Inspection on this date. LPA met with Licensee Sheila Dillard. A tour of the facility was conducted together. This is a new facility with no residents in care. The facility was observed to be at a comfortable temperature, clean, and in good repair. No passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and chairs for residents, adequate outside space for rest and recreational under a covered patio. Gate is self-closing and self-latching. Perishable and non-perishable food supply appeared adequate. Knives will be locked in the Hallway closet along with medication and first aid kit. Cleaning and Chemical supplies will also be kept locked in the hallway closet with extra overflow in the garage. Residents' bedrooms were observed to be adequately furnished with bed, dresser, folding chair and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available. Hot water temperature measured at 115 degrees F. Carbon monoxide and smoke alarm detectors installed and operational. Facility has designated one bathroom for residents which has Grab bars installed in shower. Toilet equipped with toilet safety rail. Non-skid mats in place, hand soap and paper towels available for use. Trash cans with tight fitting lids are in place. Second bathroom in bedroom will be used by staff. Fire extinguisher was serviced and fully charged. Complaint poster posted, resident council info posted, residents' rights posted; emergency disaster plan posted. Component III was completed by Licensee. Exit interview was conducted. Pre-licensing requirements were met. An exit interview was conducted with Licensee. Report signed on-site by Licensee and printed copy provided.