Follow-up·December 10, 2024

Licensed Program Analysts (LPAs) Cassandra Mikkelson and Michael Hood arrived at the facility to follow up regarding concerns during last pre-licensing visit on 10/16/2024. Facility was inspected both indoors and outdoors. LPAs inspected 5 resident bedrooms, 2 bathrooms, 1 staff room, common living areas, kitchen, and outdoor areas. Outdoor area is free from hazardous debris. Outdoor exits are clear and accessible. Fire clearance was granted on 07/30/24 for 5 non-ambulatory residents and 1 bedridden resident in room near exit 3. Kitchen is clean, sanitary, and in good repair. LPAs reviewed one (1) resident record. Licensee will change admission agreement once License has been approved. Comp III was reviewed on 10/16/2024 with licensee. Licensee has fixed the window screens and the hole in the wall in the staff room. In addition, licensee has updated facility sketch to reflect current resident rooms. Application is pending and LPAs will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.