Pre-licensing visit·February 14, 2024

Licensing Program Analyst (LPA) Darius Williams conducted an announced visit to conduct a Pre-Licensing inspection. Tour began on the front yard of the facility. Front yard and walk ways were free of obstruction. LPA observed required postings in the facility entrance and hallways. The living room and dining room were clean and free of obstruction. Seating was available to accommodate 6 residents. LPA observed 4 bedrooms. All bedrooms had mattresses, blankets, sheets, chair, dresser, lamp, and night stand. Rooms were clean and free of obstructions. LPA observed 3 bathrooms for residents and 1 bathroom for visitors. All rooms were clean and free obstruction. Grab bars were present in all bathrooms for residents use. Non skid mats or strips were not observed in 3 of 3 residents bathrooms. Pool is present in the backyard and secured. Dual smoke detector and carbon monoxide was present and operation. LPA observed fire extinguishers present and charged. First aid kit was present in the hallway and had all required items. Licensee identified separate locked locations for medications, sharps/knives, and chemicals. *Continued on 809-C* LPA requested the following items to be corrected: - Dementia and Bedridden care is required to be addressed in facilities emergency disaster plan. - Add non-skid mats or strips were in 3 of 3 bathroom showers/tubs Once LPA receives proof of correction, it will be forwarded to the Central Application Bureau for further review and processing. Component III was reviewed with Licensee's An exit interview was conducted and a copy of this report was provided to the Licensee.