Pre-licensing visit·August 1, 2025

Licensing Program Analyst, LPAs Amy Rodgers and Janet Ngallo made an announced site visit to the facility for a Pre-licensing and Component III visit. LPAs met with the Executive Director Cathy Allen. The fire inspection for the facility was completed on January, 27, 2025 . The facility was approved for 225 non-ambulatory residents of which 20 residents can be bedridden limited to the first floor units. Facility has a sprinkler system, carbon monoxide detectors, and smoke detectors. LPA's discussed Hospice and personal rights with management staff. . LPAs toured the facility campus and conducted a review of apartments on campus, common areas and grounds. There are 3 separate building on campus, with Building B and C housing residents. Each unit has a private bathroom. The bathrooms each have either a tub cut or walk-in showers. There is a large recreational area and dinning area with additional areas on campus for dinning and recreation as well as smaller meeting rooms throughout the campus. LPA checked the facility kitchen which was clean with all working industrial appliances for residents. The kitchen was fully stocked with the supplies to provide the required food service. The water temperature was checked and was within regulation. There was over a seven day supply of perishable and 2 non-perishable foods. Facility has a variety of recreation areas including a fitness area, activity rooms, computer lounge, library, theater and a beauty salon. There is also a pool with five foot fencing and a locked self-latching gate. (continued on LIC9099C) (Continued from LIC9099) Facility has plenty of outside activity space with walking paths. Staff records and part of resident records are kept locked in the business office area. There are two locked medication rooms with two LVN's on staff. The resident medical records are kept in the medication area along with most of the medications. Facility has first aid supplies and book with the required first aid items. LPA reviewed the applicant's Infection Control Plan and Emergency Disaster Plan. LPA's observed a memory care neighborhood housed on the first floor in building B. There are four delayed egress entrance/exit doors, two leading to a secured outside patio. The patio is fenced and there are 3 secured perimeter exit gates which can only be opened by a key fob. LPA conducted Component III with the applicant. The topics discussed were continuing operation requirements, record keeping/reporting, and physical plant compliance. Pre-licensing is complete, and this facility has no deficiencies. It is recommended that this facility be licensed pending final review and approval. An exit interview was conducted with the Executive Director Cathy Allen, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).