Pre-licensing visit·January 19, 2024

At 9:00am on 01/19/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility at the scheduled time to conduct the pre-licensing inspection of the facilities change of ownership (CHOW). LPA met with Administrator Jennifer Miller to conduct the pre-licensing inspection. Administrator and LPA conducted a full tour of the facility, and facility grounds. There is a large fenced backyard with garden, ample seating, awning for shade for residents and guest. This facility has 5 resident bedrooms, and 3 resident bathrooms. There are two living rooms, a kitchen, dining room and laundry room. The facility utilized a locked mobile medication cart that normally kept in the back of the dining room area. LPA observed all resident bedrooms and bathrooms all found to be compliant with regulation standards. LPA observed full facility and facility grounds and found all to be compliant with regulation standards. LPA noted that there is a complete first aide kit on hand at the facility. LPA noted that the facility food supply that currently meets or exceeded licensing standards of perishable and non-perishable foods. . LPA noted that all exits and hallways were free and clear from obstructions. LPA noted that there are smoke detectors throughout the facility and a carbon monoxide detector that are all functional and working. LPA noted that the facility is clean and in good repair Administrator and LPA conducted a full review of the pre-licensing care tools modules and discovered no issues, technical, violations, or citations. LPA noted that this facility, under the current Administrator had just passed the annual inspection on 12/16/2023, where the full annual inspection control tools module was reviewed with not technical, violations, or citations. LPA conducted the full Composition III (COMP III) with Administrator Jennifer Miller on 12/16/2024. At this time the pre-licensing inspection and COMP III component has been completed and LPA Jeffries and has no objections to the change of ownership (CHOW) licensing of this facility. Exit interview, report read, and report provided.