Pre-licensing visit·August 26, 2024

Licensing Program Analyst (LPA) Melissa Parks arrived on Monday August 26, 2024 to conduct an announced prelicensing visit. The Compliance and Regulatory Enforcement Tool was used during today's inspection. This facility has a fire clearance for 6 nonambulatory residents, with a total capacity of 6. Facility has all required postings in the hallway. LPA toured the facility with Administrator Raisa. The following areas were inspected for compliance: kitchen, backyard, resident rooms, bathrooms, staff room/office and common area. Facility has a current fire extinguisher and a full first aid kit. Medications will be kept locked in the hallway closet (between bedroom #2 and #3). Cleaning chemicals and knives/sharps will be kept locked and inaccessible to residents. This facility had a fence surrounding the property with an electronic operated slide gate and gate code. Next to the gate, was a pedestrian gate which will be kept unlocked. Should the Licensee want to lock the pedestrian gate, a secured perimeter waiver will be requested from the Department. Component III was waived due to the Licensee currently owning/operating another facility. The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.