Pre-licensing visit·April 27, 2022

On 04/27/2022 at 9:00 am Licensing Program Analysts (LPAs) T. White and R. Campbell arrived announced to conduct a prelicensing inspection with applicant Paolo Gesmundo for this residential facility application. Administrator Certification for Paolo Gesmundo is #6062559740 that expires on 02/28/2024. LPAs conducted an inspection of facility including common areas, resident bathrooms, kitchen, dining room, storage, and outside yard area. Requested capacity is 6 residents, which 2 may be on hospice. The facility is clean and in good repair in areas toured. No hazards were noted in courtyard areas, hallways, doorways, etc. No equipment was stored in public areas. Fixtures and furniture all appear to be in good condition. Cleaning solutions are stored separately from food and are secured. There are no bodies of water on the premises. Smoke alarm was tested and operational. Fire extinguisher was in compliance and serviced February 11, 2022 and facility has carbon monoxide detectors. Adequate number of bedrooms (6) for capacity requested. Facility has supply of bedding and towels. Furniture appears appropriate in bedrooms. There is adequate closet/drawer space available. There are plenty of bathrooms for number of residents. Non-skid surfaces/mats were noted in the shower. Kitchen appears to be clean, well supplied with equipment. Facility has current staff files and adequate supply of forms. First aid kit was present at the facility. Laundry equipment present, working telephone, emergency lighting. Water temperature was measured at 119 and 116 degrees F. LPAs conducted Component III presentation. Exit interview conducted and copy of this report was provided to applicant for signature. Report sent to the applications unit as this facility is ready for licensure.