Pre-licensing visit·September 11, 2025

At 8:00am on 09/11/2025, Licensing Program Analyst (LPA) Jeffries arrived at the scheduled appointment time. LPA met with facility Administrator, Cherlyn Cradduck, announced who he is and the reason for the visit being the change of ownership facility inspection (CHOW). Administrator and LPA conducted a physical tour of the facility. This facility has 3 resident bedrooms of double resident occupancy, and 2 bathrooms. The facility has dual smoke and carbon monoxide detectors tested and working properly during visit. LAP noted that the facility has working fire extinguisher and it is primed in the green as good. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectants, cleaning solutions and poisons are inaccessible to residents in care locked in cabinets. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use and the front patio has plenty of shade from umbrellas and seating. The facility has a telephone and internet service for residents’ use. LPA noted that there are at least 2 days of perishable foods and at least 7 days of nonperishable foods on hand for all residents and staff. LPA noted that the medications are stored and locked in the hallway closet. LPA also conducted a staff and resident file review. LPA reviewed the facilities plan of operation that addressed dementia training and bedridden residents. LPA reviewed both the emergency disaster plan and infection control plan to be updated. LPA conducted a full review of the pre-licensing care tools. LPA noted that COMP III is waive due to substantial compliance in two other facilities under Licensees administration (see LIC-812). LPA noted that there were no deficiencies, violations, or citations noted during this Change of Ownership inspection. Exit interview, report read, and report provided.