Pre-licensing visit·June 20, 2022

Licensing Program Analyst (LPA) Wendell Smith conducted an announced Pre-Licensing Visit. LPA met with applicant and explained the reason for this visit. Facility is cleared for five non-ambulatory residents and one bedridden resident in room #4. Facility has four bedrooms and two bathrooms for resident use. Bedrooms #1 and #4 are private rooms while bedrooms #2 and #3 are shared rooms. All bedrooms were observed to be properly furnished. LPA checked bathrooms and observed there to be skid mats. During the visit grab bars were installed next to the toilets. LPA observed all common areas to be appropriately furnished. LPA observed the facility to have a sun room that is accessible to residents. It will be locked from the inside and residents will be able to access it from the outside by ramp. LPA checked the kitchen for the ability to prepare and store food. LPA observed knives and sharp objects to be locked away and inaccessible. LPA observed all the required postings to be posted in the hallways. Facility has carbon monoxide/smoke detector that was observed to be working properly. LPA observed fully charged fire extinguisher was in the dining room, hallway, and garage. The garage area is locked an inaccessible from residents. In the garage area is where the washer and dryer are located. LPA toured the backyard of the facility and observed it to be free of clutter and debris. There is a small office in the backyard which will be locked and inaccessible from residents. Front yard and backyard of the facility is fenced and alarmed. All exit doors were observed to be alarmed. During the visit LPA also conducted a Component III with the applicant. Exit Interview was conducted. LPA will follow up with the Central Application Unit.