Pre-licensing visit·August 24, 2021

Licensing Program Analyst (LPA) Bethany Huusfeldt-Mirlohi conducted a pre-licensing inspection. LPA met with Administrator Anita Heydon during today's inspection. Currently there are 3 residents residing within the facility. Fire clearance was granted on 7/20/21 for 5 non-ambulatory and 1 bedridden resident. Facility was inspected both indoors and outdoors. LPA inspected 4 resident bedrooms, 1 staff room, bathrooms, common living areas, and kitchen. Outdoor area is free from hazardous debris. Outdoor exits are clear and accessible. The emergency exiting plan was posted. First aid kit was present in the facility. Centrally stored medications will be locked in the hallway closet. The facility has adequate lighting throughout. LPA inspected resident 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 checked and operational. Kitchen is clean, sanitary, and in good repair. A working telephone will be provided upon time of admission of residents. LPA observed the following corrections need to be completed: Kitchen cabinet which stores the kitchen knives needs to be fixed and locked. Cleaning supplies in the garage need to be locked and inaccessible. Resident needs and service needs to be completed. Administrator agrees to correct listed items. Component III was waived. LPA will return on a later date to finish pre-licensing once corrections have been made. Exit interview conducted.