Pre-licensing visit·November 6, 2023

Licensing Program Analyst, Amber Coleman, (LPA) arrived at Cassandra's Care Home for a scheduled visit to conduct the Pre-Licensing Inspection. LPA approached the door, introduced self and stated purpose of the visit. LPA was greeted and granted entry by Cassandra Ellison, Administrator/Licensee. LPA was provided a space to set up and work, then provided a tour of the facility inside and out. LPA observed the following: Application : The application is for Residential Care Facility for the Elderly, (RCFE) submitted on 4/10/23. Fire clearance has been granted for five, (5) non-ambulatory residents and one, (1) bedridden resident. Fire clearance and inspection completed and approved on 7/10/23. Buildings and Grounds: The facility is a 1 level residential home. Facility is comprised of 5 bedrooms (4 resident rooms, 1 office), 2 bathrooms, kitchen, dining room, living room, attached garage and backyard. LPA observed the following signage throughout the facility: LET-US-KNOW, resident rights, resident council, labor laws, employee rights, visiting hours, evacuation/disaster plans, and infection control. Extra linens are kept in a hallway closet. Another hallway closet is designated to house cleaning supplies and tools. This hallway closet can also be secured. Facility in regulatory temperatures. Resident Rooms - each room included mattresses, mattress covers, bed linens, storage for clothing and belongings, intact windows and screens and sufficient lighting. Each room also included a floor plan with the evacuation route highlighted. 2 resident rooms contain a doorway entry into the facility's backyard. Both doorways included a cement ramp and railing for additional support and added safety. Bathrooms - There are 2 bathrooms, LPA observed each bathroom equipped with railing inside the showers and non-slip grip mats on the floor. Bathrooms also included a walk in shower and raised toilet seats. One of the bedrooms' includes an attached bathroom. Food Service/Kitchen: LPA observed the facility kitchen. Appliances observed to be functional and in good repair. Silverware, dishes and cups stored in adequate amounts for the number approved residents. The designated area for sharps and additional cleaning supplies are secure cabinets and drawers. The kitchen pantry is also houses the facility's first aid kits. The water temperature was tested and measured between 110-120 within regulatory limits. Living Room/Dining Area- included adequate seating, and a television. Activities such as board games, connect four, checkers/chess, bingo observed in the dining room; accessible for resident's use. The facility maintains an internet connection and working landline phone for residents. Storage and Supplies: Facility Records, Staff/Resident files are designated to be stored in the facility office; which is also secure. Backyard: included adequate seating, shade and space for activities. During the walk through, LPA observed that the facility formerly had a pool, has filled it in. No pools or body of waters on facility grounds. The backyard also contains a firepit, but the gas line has been removed, per Administrator. Exterior pathways were clear and unobstructed. Administrator and Licensee report there are no weapons or ammunition kept in the facility. LPA walked through the facility garage. The facility's washer and dryer is housed in the garage. Garage door is secure. The garage contained securable cabinets for laundry detergent/bleach. Overall, the facility is clean, in good repair, and operating in safe conditions. Pathways interior and exterior free of obstructions. LPA observed combination smoke/fire and carbon monoxide alarms throughout the facility. 2 fully charged fire extinguishers - purchased October 2023. No deficiencies were observed during inspection. LPA will inform the Centralized Applications Bureau the home is ready to be licensed. An exit interview was conducted. This report was reviewed, discussed then provided to Cassandra Ellison.