Pre-licensing visit·November 18, 2025

Licensing Program Analyst (LPA) Evelin Rios conducted a Pre-Licensing Inspection at this facility and met with the Administrator, Donald Brodt and Licensee Representatives, Marques Crutchfield and Mary Crutchfield. The applicant is "MARK ALTON CARE, LLC". A fire clearance was approved on 09/25/2025 for six (6) bedridden residents and the facility has a hospice waiver for six (6). The facility is a single story home with a total of five (5) bedrooms and two (2) bathrooms. A tour of the physical plant was initiated at approximately 9:50 a.m. and the following was observed: At entry LPA observed required postings on the wall by the front door. KITCHEN: The facility has a Kitchen that is equipped with a refrigerator, microwave, stove, dishwasher and sink. Knives and sharps were observed locked in a kitchen drawer. Cleaning supplies and other toxins are stored in a locked cabinet under the sink. BEDROOMS: There are five (5) bedrooms of which four (4) are designated for residents' use. One (1) is a shared bedroom. Residents' bedrooms were furnished with beds, night stand, chairs, dressers, bedding and linens. The bedrooms have sufficient lighting and storage. BATHROOMS: The facility has two (2) bathrooms for residents' use. One (1) bathroom is located in the shared bedroom. The bathrooms were observed to have the proper fixtures, grab bars, slip-resistant strips . The hot water temperature was measure d at 115.2°F in both bathrooms within regulation. (Continued on LIC 809-C) (continued from LIC 809) LAUNDRY ROOM: The laundry room was observed locked. Laundry detergents and other cleaning agents were locked in the laundry room. The attached garage is through the laundry room. The garage is used to store extra facility supplies. Dual smoke/carbon monoxide detectors were tested and observed to be operable, they are hardwired and interconnected. LPA observed a second carbon monoxide detector on the hallway leading to the residents rooms. A Fire extinguisher was observed fully charged with purchase date 07/30/2025. COMMON AREAS: These included the living area and the dining area. Living area was furnished with chairs and a couch that sit the capacity of the facility. The living area was furnished with a television, and side tables. There is a fireplace secured with a screen. MEDICATIONS/STAFF/RESIDENT: The medication cabinet is located in a closet and was observed locked. A complete first aid kit is located in the medication closet. Staff and resident records will be kept in the medication closet. SURROUNDING GROUNDS: The driveway, passageways and entrance to the facility was clear of obstruction. The backyard of the facility has a covered patio and backyard furniture to accommodate the residents. No bodies water observed. Component III was conducted with the Administrator and Licensee representatives. Pre-Licensing is complete and this facility has no deficiencies. 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. Copy of this report provided.