Pre-licensing visit·October 6, 2021

LPA Lusby and LPA Williams arrived on Wednesday October 6, 2021 to conduct the prelicensing inspection. Prior to the visit, LPAs completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPAs ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask by LPA Lusby and a surgical mask by LPA Williams. LPAs completed the prelicensing inspection domain with Licensee Beryle. LPAs toured the facility and insured all rooms had the required furniture. LPAs requested that Licensee Beryle update her inside facility sketch to reflect the accurate staff room location. LPAs obtained LIC808 mitigation plan for the facility. Component III was conducted with Licensee. Upon review of updated approved facility sketch, LPAs will notify CAB that the facility is ready for licensure. Exit interview conducted. A copy of this report was left at the facility.