Pre-licensing visit·September 27, 2024

At approximately 11:55 a.m. on 09/27/24 Licensing Program Analyst (LPA) Nicholas Reed conducted a prelicensing visit. LPA met with the administrator and disclosed the reason for the visit. Today’ prelicensing visit is conducted due to a Change of Ownership with residents in care. It is a single story building with six (06) bedrooms, six (06) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for six (06) nonambulatory residents, of which one (01) may be bedridden. The facility serves residents with dementia. Surveillance cameras are used in exterior areas. The front entrance is gated and unlocked from the inside. The front yard is maintained. At the front door, LPA observed postings for the house rules, facility sketch, facility license, COVID precautions, rights of resident councils, ombudsman contacts, confidential complaint contacts, and oxygen in use signs. Additional postings were observed for the emergency disaster plan, personal rights, and administrator certificates. A screening station at the front contained a visitor log, sanitizer, and masks. Walls, floors, windows, screens, and blinds were clean and in good repair. A fireplace was appropriately covered. The living room contained a television, reading materials, and furniture in good repair. At 12:20 p.m. LPA measured the room temperature to be 74 degrees Fahrenheit. At 12:25 p.m. the carbon monoxide detector in the hallway was tested and deemed operational. At 12:30 p.m. smoke detectors were tested and operational. At 12:35 p.m. LPA observed a fully-stocked first aid kit near the kitchen. It was purchased on 08/08/24. The facility has six (06) bedrooms. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. All beds with wheels were in the locked position. Exit doors from rooms were unlocked. The facility has six (06) bathrooms. Bathrooms contained liquid soap, trash cans with tight fitting lids, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 12:45 p.m. LPA measured the water temperature to be 108.0 degrees Fahrenheit in the private bathroom to Bedroom #2. At 1:00 p.m. the house telephone was called and deemed operational. Nine (09) out of nine (09) auditory alarms were on and functional. The seating area in the rear was shaded. The back yard also contained a gardened area. Emergency exit paths were free of hazards. The exit gate was unlocked. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen refrigerator, freezer, and pantry. Appliances were in good condition. Sharps were locked below the counter top. Cleaning solutions were locked below the sink. Medications were locked above the counter top. The laundry area was near the kitchen and contained a washing machine and a dryer in working order. Detergents were locked in a cabinet. At 1:20 p.m. LPA conducted a records review of resident and personnel files. All files were complete and available for audit. Component III was completed. During today’s inspection, no immediate health or safety hazards were observed. Pre-Licensing is complete and this facility has no deficiencies. Exit interview conducted. Copy of report provided.