Pre-licensing visit·May 4, 2021

Licensing Program Analysts (LPAs) Kennedy and Silveira conducted a Prelicensing/Component III Visit to observe the physical plant for compliance via video calling app due to COVID-19 restrictions with applicant Jim Morrison. The LPAs virtually toured the physical plant and observed resident accommodations including furnishings, linens and personal hygiene items; resident bathroom were equipped with grab bars, bath mats; staff and administrative records are located a the locked office; food service including dishes, utensils, food storage and a seven day supply of nonperishables and a two day supply of fresh perishables are present; toxic substances are stored locked in the garage or the office; medication storage and administration logs are located in a locked cabinet in the kitchen; first aid kit and current first aid manual are located in the office; activities, supplies and sufficient space to conduct are present; fire extinguishers are affixed with a current tag; smoke and carbon monoxide detectors are present and operable; facility posting requirements are present in a common area and the facility administrators certification is current; no pools or other body of water is present on the facility; per the applicant there are no guns, weapons or ammunition located on the property. Discussed with the applicant were continuing operation requirements, record keeping and physical plant compliance. The applicant shall contact the Centralized Application Unit (CAU) for completion of this pending facility application. An exit interview was conducted with Mr. Morrison, and a copy of this report and Licensee Appeal Rights (LIC 9058) were emailed to Mr. Morrison and a return email acknowledges the receipt of this report.