Pre-licensing visit·October 12, 2022

On October 12, 2022 at 2:20pm, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility to conduct a Pre-Licensing inspection and met with Administrator, Muamoudou Bob Soumahoro. LPA toured and inspected the indoor and outdoor premises of the facility with administrator to ensure there are no health and safety concerns. Indoor and outdoor passageways were free of obstruction. The facility has (5) five bedrooms and (4) bathrooms. LPA observed the kitchen area, living room, bedrooms, bathrooms, storage area, garage, and dining room. LPA observed knives/ sharps were locked in the kitchen cabinet. LPA observed toxic and cleaning supplies locked underneath the kitchen sink. 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 110 degrees Fahrenheit. First aid kit was completed with bandages, tweezers, scissors, and thermometer. LPA observed centrally stored medications area were locked and inaccessible to residents in care. Facility has sufficient supplies of PPE, paper, hygiene, and incontinence. There are two ramps located in the backyard. Both are free of obstruction. Residents and staff are able to use ramps to exit from to the front in case of an emergency. LPA observed one (1) fire extinguisher, smoke and carbon monoxide detectors in the facility. Licensing complaint poster are posted as required. 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.