Pre-licensing visit·August 19, 2022

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility in order to conduct a pre-licensing inspection of the home The LPA was able to meet with the facility administrator. This is a change of ownership. This home is a 4 bedroom 2 bath home. The fire clearance was approved for 1 bedridden resident and 5 non-ambulatory residents. All smoke alarms and carbon monoxide detectors appeared functional. The fire extinguisher in the kitchen also appeared functional. 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. Exit interview conducted. Report signed and delivered.