Pre-licensing visit·August 5, 2022

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility and was greeted by the facility administrator and the administrator's consultant. This visit was held in order to conduct a pre licensing inspection. This is a new application and there were no residents at the facility during the visit. The home is a six bed 3 bath, house. Four bedrooms and three bathrooms are located on the downstairs level. The upstairs level will be for staff only and there was a child proof door that restricts access to the upstairs. On the first level, there are two private rooms and two shared rooms. The facility was inspected for fire safety and all smoke alarms and carbon monoxide detectors were tested and functioned properly. LPA toured the home inside and out and no issues were observed. Component III Conducted. Pre-licensing Inspection tool review all eleven inspection domains, no deficiencies were observed. This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. You are to inform your LPA once you receive your first resident. Exit interview conducted. Report signed and delivered.