Pre-licensing visit·May 2, 2024

On 05/02/24, Licensing Program Analyst (LPA) L. Salazar arrived at the facility for an announced pre licensing inspection. LPA was greeted by Licensee/Administrator and was allowed entry into the facility. LPA toured the facility inside and out with licensee. LPA entered through the front door and did not observe the required postings in the entry. LPA observed the residence to be a single story, 4 bedroom/ 2 bathroom home. Deadbolt locks were observed on 3 out of the emergency exits and will need to be removed. There is a dining room and living room observed to have adequate furnishings and lighting. All bedrooms were observed to have beds, however, 4 out of 4 bedrooms did not have night stands, personal lighting and chest drawers to accommodate 2 residents per room. LPA observed fire extinguisher to be new and charged, however, no service or purchase date was provided on the extinguisher. Smoke detectors were tested and observed to be operational. Carbon Monoxide detectors were not observed. Emergency lighting /flashlights and night lights in the hallways by the bathrooms were not observed. Licensee will purchase. LPA observed a adequate supply of towels. There were no hand washing signs observed. A supply of paper towels were observed in the bathrooms. Hot water temperature in bathroom measured at 128.4 degrees F. Non-Skid mats were not present in the shower. Grab bars were observed in the bathrooms next to the toilets and showers. Kitchen observed to have supply of dishes, plates, pots and pans. Microwave and underneath cabinet next to stove needs to be degreased/cleaned. Food storage and preparation areas are clear and appropriate for food preparation. Cleaning supplies and chemicals are locked in the garage. A locked cabinet in the kitchen is designated to store medications. Sharps/knives were observed in a locked drawer in the kitchen. Appliances observed to be in working order. LPA observed a 7 day supply of non-perishable food. (continued on LIC809-C) (Continued from LIC 809) First aid kit was not observed. Washer and Dryer observed in the laundry room with additional storage space available in upper cabinets. Doors and passageways are clear and free from obstruction throughout the home. LPA toured the outside of the residence and observed a patio to be uncovered. Adequate outdoor seating for activities. A self-latching gate found to be working properly. There are no bodies of water on the premises. The following observed will need to be brought into compliance: Chest of drawers for each resident Night stand for each resident Obtain first aid kit Microwave and underneath cabinet next to stove needs to be degreased/cleaned Turn down the water heater so temperature is under 120 degrees F Obtain telephone line service at the facility and provide phone number to CCL Proof of Fire Extinguisher in compliance Purchase Carbon monoxide detectors Posting of Fire Clearance, PUB 475, Resident rights, Visiting Policy Provide paper towels for bathrooms Purchase adequate food supply for 7 days Install night lights in hallway Patio needs covering for seating area. Deadbolt locks need to be removed on 3 out of 3 emergency exits Weather stripping on door exiting to backyard needs a section replaced Update the emergency disaster plan (LIC 610D) to reflect specific steps of what the facility will do in the event of an emergency disaster. An exit interview was conducted and a copy of this report was left with licensee, whose signature confirms receipt of these documents.