Pre-licensing visit·June 12, 2024

Licensing Program Analyst (LPA) Bethany Mirlohi arrived announced to conduct a pre-licensing inspection. LPA met with Licensee/Administrator Sardar Ali Raza during today's visit. Currently there are no clients residing within the facility. Facility was inspected both indoors and outdoors. LPA inspected client bedrooms, bathrooms, common living areas, garage and kitchen. Outdoor area is free from hazardous debris. Outdoor exits are clear and accessible. First aid kit was present in the facility. Centrally stored medications will be locked in the kitchen cabinets. The facility has adequate lighting throughout. LPA inspected client bedrooms and the bedroom had appropriate furnishings, chair, adequate lighting and storage. Bathrooms are clean, sanitary, and in good repair. Smoke detectors and carbon monoxide detectors were operational. Fire clearance was granted on 01/29/2024 for 5 non-ambulatory clients and 1 bedridden client. Kitchen is clean, sanitary, and in good repair. A working telephone has been set up for client use. During facility inspection LPA found resident bathrooms did not have grab bars set up by the toilets. Licensee to install grab bars in bathrooms and LPA will return on a later date. COMP III was completed during today's inspection. Exit interview and copy of report provided.