Pre-licensing visit·June 11, 2024

Licensing Program Analyst (LPA) Hansen, conducted a pre-licensing inspection, on 6/?/24 at approximately ??8:00 AM, and met with applicant Bana Solomon, was unavailable for this mornings visit. Bana Solomon RCFE Administrator Certificate #6063962740 expires 8/12/2024. Facility is fire cleared for six(6) non-ambulatory, which includes one(1) bedridden, effective 3/19/24. Applicant has an approved Hospice Waiver for 6 Hospice Residents. Applicant has an approved dementia plan of operation. Applicant has submitted an infection control plan for the home as required. The last inspection was on 6/5/24 and there were a few items that needed to be completed; LPA has observed that the following items need to be corrected prior to being licensed. The east side exit door has not had keycode lock installed that leads out to field. And additional items discussed with Administrator. Bana Solomon completed component III orientation on 5/23/24. The applicant will contact LPA Hansen when the items and will be back listed above are complete; LPA will schedule another pre-licensing continued inspection to reinspect as needed. The applicant may contact the LPA at the contact number provided if there are any questions to the above information.