Pre-licensing visit·September 10, 2025

On 09/10/2025, Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility to conduct a Pre-Licensing inspection. LPM and LPA met with applicant, Syed Fahad Shah, and explained the purpose of the visit. The facility has a fire clearance for two non- ambulatory residents. During today's inspection, LPM, LPA and Applicant conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to one (1) shared residents bedroom with a bathroom attached, kitchen, laundry room, backyard and common areas. LPA observed resident bedroom to have the proper furniture. LPA observed fire extinguisher serviced on 02/28/2025. LPA observed the facility to have a proper storage for medications, toxins and sharps which is locked and inaccessible. LPA observed the exterior of the facility to be free of obstruction. LPA and Applicant completed the inspection tool and Comp III. Pre-Licensing completed and no deficiencies was observed. LPA informed Applicant facility is not licensed until Applicant is informed by Centralized Application Bureau Analyst with a copy of facility license. Exit interview conducted and a copy of the report and LIC809G was left at the facility.