Pre-licensing visit·April 8, 2021

Licensing Program Analyst (LPA) Wendell Smith conducted a pre-licensing visit. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, the visit was conducted virtually through face-time with Cherie Wood. Application is a change of ownership application.. LPA was given a physical plant tour of the facility. Facility is fire cleared for two ambulatory, three non ambulatory, and one bedridden resident. Bedroom #1 and 2 are cleared for ambulatory only. Bedroom #3 and #4 are cleared for non ambulatory and one bedridden may be in either room #3 or #4. Facility has one bathroom designated for residents and one bathroom was designated for staff. LPA checked the kitchen area of the facility for the ability to prepare and store food. Next to the kitchen was a laundry room that is inaccessible from residents. LPA observed the backyard of the facility to be free of clutter and debris. All exit doors were appropriately alarmed. LPA observed the required postings upon entrance to the facility. Exit Interview conducted. Copy of report emailed for signature.