Pre-licensing visit·December 13, 2022

On 12/13/22, Licensing Program Analyst (LPA) Kevin Mknelly pre-licensing inspection for a change of license. LPA followed all Covid precautions. LPA was screened upon arrival. LPA toured Physical Plant, Food Service, Common Areas, Bedrooms, Bathrooms, Kitchen and Medication Storage. Fire extinguisher is current and First Aid is fully stocked. Kitchen was clean and good repair. Licensee has knowledge of (7) seven (2) two day supply of non-perishable and perishable, and required emergency shelter in place supplies. Rooms inspected have appropriate items and are in good repair. Water temperatures requirements were reviewed. LPA observed centrally stored medications and toxins are to be kept locked and inaccessible to residents. Staff and resident files are to be set up to contain required documents. Covid 19 guidelines and signage discussed and information links provided. Facility will accept total capacity of six elderly residents. LPA observed this facility appears to be clean, safe, and secured. All common areas appear to be free from hazards, clean and in good repair. As of this date, the Department has received the fire clearance. During this visit, this facility is in substantial compliance and meets the minimum requirements for a RCFE license. Component III was declined. Application is pending further review and report provided. Report was reviewed and report provided.