Pre-licensing visit·August 29, 2024

On August 29, 2024 at 10:00am, Licensing Program Analyst (LPA), Deborah Lee conducted an announced visit to the facility for the purpose of conducting a pre-licensing evaluation. An application was submitted to CCLD on 3/13/2024 for opening a new facility for a Residential Care Facility for the Elderly (RCFE) to serve residents 60 and over. 3 Non-ambulatory, 1 may be bedridden. LPA met with Rodrick Barnett, Applicant Paula Lovely Administrator and explained the purpose of today’s visit and together toured the physical plant(inside and outside). Overview of Facility: Facility is a single story home located in a residential neighborhood. Property sit in back of a triplex property. There are resident bedrooms, 1 bathrooms, living/dinning room combo, laundry room located off of the kitchen area. There is a detached garage for storage space. The client bedrooms easily accommodate the client's furnishings. Outdoor passageways, walkways, driveways, steps and patios are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. Living room is fully furnished with 1 sofa and 2 chairs, 4 seated dinning table, and mounted TV. Bedrooms Residents: Bedroom #1 have working lights, new blinds and working windows with bars that has an operable release device and will be occupied by 1 residents. Page 1 of 2 Bedrooms Residents: Bedrooms# 2 have working lights and adequate bedding. This room will be a shared room. Bathrooms: Bathroom is located off of the living room area and has a working toilet, wash basins and shower, LPAs observed it to be clean, safe, and sanitary. Linens & Hygiene Supplies: Are located in the a cabinet in the laundry room. Has adequated linens and hygiene supplies. Facility has a lanline phone for emergencies. Fire Extinguisher is fully functioning/charged and is located in Kitchen by the stove. LPA observed all required post. LPA observed an area where centrally stored medications will be kept. It is locked and will be inaccessible to residents. LPA observed a first aid kit with required items Smoke Detectors: Facility has 3 smoke detectors/carbon monoxide detectors. Tested and operable at time of visit. Appliances: LPA observed all kitchen appliances and washer and dryer in working order. The residence is equipped with heat and air conditioning. All toxin will be locket and inaccessible to resident. Water temperature tested at 110 degrees F. All staff files will be locked in a cabinet located in laundry area. Component III: Conducted during today’s Pre-Licensing visit. No corrections needed at this time. An exit interview was conducted, and a copy of this report has been furnished to the applicant. Page 2 of 2