Pre-licensing visit·October 28, 2024

On 10/28/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived announced to this facility to conduct a pre-licensing visit. LPA was greeted by applicant, Latifa Awa and explained the purpose of the visit. The purpose of this visit was to complete a pre-licensing visit. Current Census 0. This facility will hold 6 elderly residents, 1 can be deemed bedridden, and 2 can be deemed non-ambulatory. A brief interview with Latifa Awa. This facility will hold a dementia plan on file and hospice waiver for 3. LPA Pascua initiated a tour of the facility with Applicant, Latifa Awa. One fire extinguisher was placed in the kitchen and was purchased with a receipt dated on 07/08/2024. The facility will have a centralized screening point supplied with hand sanitizer and masks located by the entrance and exits. All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time. Office rooms and other areas intended for resident use were toured. Kitchen area was toured. Facility freezer and refrigerator units were toured. LPA reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities on site at all times. Knives were observed to be locked and made inaccessible. Storage area for chemicals and cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Additional incontinent supplies were also identified. A tour of 4 resident bedrooms was conducted. Furniture and furnishings were observed to sufficient and able to meet the needs of the residents at this time. A review 3 resident restrooms was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees First aid kit was observed to be present and contained all of the required components at this time. A tour of the laundry room was conducted. LPA observed toxins and laundry detergent locked and made inaccessible. This facility will be using a locked medication cabinet located in the family room. LPA observed the medication cabinet to be locked and made inaccessible at this time. Exterior grounds of this facility was toured. Perimeter fence and gates were observed to be functional and in good repair at this time. LPA Pascua observed a locked gate to the man made lake of the community. This facility has been observed to be in compliance at this time. Component III was reviewed with applicant, Latifa Awa. There were no deficiencies observed during the course of this Prelicensing visit. Exit Interview was conducted and a copy of this report was provided to the Administrator.