Pre-licensing visit·July 19, 2024

Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Administrator Laura Kephart. An initial application to operate a Residential Care Facility for the Elderly was received by CCL on 11/21/2023 for a capacity of 25 ambulatory, 125 non-ambulatory and 40 bedridden residents. Facility appears clean and sanitary and utilizes solar panels. LPA Lyman along with Administrator and Director of Health Services toured the facility at 10:56 AM and observed the following: Structure: Facility is a three story building with an assisted living and a memory care unit. Facility houses a gym, salon, library and activity room. Living Room/ Dining Room : Adequate seating is available in the common areas including multiple seating areas throughout the facility. There are three different dining rooms including a bistro to serve the residents. Bedrooms Residents: Resident rooms are equipped with resident's personal furnishings. Facility will supply furnishings to residents who arrive without personal furnishings. Bathrooms: All resident bathrooms have a working toilet/ wash basin as well as grab bars and non-skid surface in the shower. Residents all have private bathrooms located inside resident rooms. Linens & Hygiene Supplies: Facility has ample bedding and towels for residents in care. Emergency Phone Numbers and Exit Plan: Posted in the entrance of the facility. Food Service: Facility has 2 day perishables as well as 7 day non-perishables. Residents order off a menu with varied choices Smoke Detectors: Smoke detectors/ carbon monoxide detectors were tested operational. Fire extinguishers are mounted and charged. Facility tests carbon monoxide detectors and fire extinguishers in house and contracts with an outside business for sprinklers and smoke detectors. Appliances: Facility appliances as well as laundry are clean and operational . Water Temperature: Tested and recorded between 112.2 and 118.6 degrees F. in tested bathrooms. Emergency Supplies: LPA observed ample emergency food and water as well as a posted emergency disaster plan. Medications, First-Aid Kit & Book: First aid kit observed contained all required items. Medications are stored and locked in the Wellness center. CONTINUED ON LIC 809C DATED 07/19/2024. Facility uses electronic medication administration record. Resident & Staff File: Records are stored secured in the business office. Reading Material, Games, and Equipment: Facility provides activities including exercise, games, happy hour and outings in the community. Outside Areas : LPA observed a clean shaded outside area with a pool secured by a 5 foot fence. Fire Clearance: Approved for 25 ambulatory, 125 non ambulatory and 40 bedridden residents on 02/06/2024. Facility is ready to be licensed. Exit interview conducted and a copy of this report was left at the facility.