Pre-licensing visit·June 23, 2022

Licensing Program Analyst (LPA) Jesse Gardner conducted an announced pre-licensing inspection to the facility to complete the pre-licensing inspection and Comp III. LPA arrived at the facility at 08:57 AM and met with Administrator Alan Lee. Administrator Lee accompanied LPA on a tour of the inside and outside of the facility. Currently there are no residents in care. The facility is a six bedroom three bathroom home, in which each resident will have their own room. The facility has a living room, dining room, kitchen. Per the approved fire clearance, the licensee is approved for 5 ambulatory residents and 1 non-ambulatory resident. All bedrooms are furnished with bed, night stand, dressers and have adequate lighting for residents use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. The bathrooms have grab bars and non-skid mats installed. The water temperature was tested and measured between 114.8 to 116.5 degrees Fahrenheit. The smoke alarms and carbon monoxide alarm were tested and are in operating order. LPA observed one fire extinguisher present in the living room adjacent to the kitchen area and fully charged. The kitchen was observed to have dishes, silverware and pots and pans. The knives were stored in a locked drawer in the kitchen. The medications, will be stored in a locked cabinet in the kitchen. The chemicals will be stored in a cabinet in the laundry room which is locked. The backyard was observed to be fully fenced with an unlocked gate and plenty of shade via a patio cover. LPA found all facility features to be in compliance and in line with Title 22 Regulations. An exit interview was conducted and a copy of this report was reviewed with and provided to Administrator Alan Lee.