Pre-licensing visit·September 28, 2022

On 09/28/2022, Licensing Program Analyst (LPA) Jacob Williams conducted a Prelicensing inspection. LPA met with Administrator, Craig Fowler, and explained the purpose of the visit. LPA wore a surgical mask while at the facility. LPA toured the facility together with Administrator. The facility has three (3) resident bedrooms and two (2) bathrooms. LPA observed the common areas, kitchen area, bedrooms, and bathrooms. LPA observed knives/ sharps area were locked in the cabinet underneath the sink. Toxic and cleaning supplies are locked away. LPA observed food supplies of non-perishables for a minimum of one week and perishable foods for a minimum of two days. LPA observed required furniture, and lighting throughout the facility. Bathrooms are clean, sanitary, and in good repair. The hot water temperature was measured in the kitchen at 115 degrees Fahrenheit. First aid kit was completed with bandages, tweezers, scissors, and thermometer. LPA observed centrally stored medications area were locked and inaccessible. LPA observed one (1) fire extinguisher, smoke detectors, and carbon monoxide detectors in the facility. Licensing complaint poster is being ordered and will be hung in prominent location. Component III presentation conducted with administrator. LPA observed that the facility is ready to be licensed. This report will be submitted to the Central Applications Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. An exit interview was conducted with administrator and a copy of this report will be provided to the facility via email.