Pre-licensing visit·October 28, 2021

Licensing Program Analyst Javier Prieto conducted a pre-licensing inspection with Licensee and administrator Kimberly Hamilton. The inspection was conducted in person with Covid-19 restrictions. The home is a (4) bedroom, (2) bath home with a living room and kitchen. Per the approved fire clearance, the licensee is approved for 6 ambulatory residents. Bedrooms are furnished with bed. Bedrooms have adequate lighting for residents’ use. The facility has linens, and towels and a sufficient amount of hygiene products for residents. Fire extinguisher was present and fully charged. The kitchen was observed to have dishes, silverware, pots, and pans. Cleaning supplies are locked and stored in kitchen area. Staff and resident files will be locked in cabinet located in the hallway area. The medications locked and stored in a locked cabinet. Smoke detectors were tested and found to be in working order. The backyard was observed to be fully fenced and had a covered patio with table and chairs for resident's comfort. Documents required are posted in public view were observed to be present. The Component III Orientation was completed during the pre-licensing inspection. An exit interview was conducted, and a copy of this report was given to Ms Hamilton for her review and signature