Pre-licensing visit·June 23, 2025

Licensing Program Analyst (LPA) Albert Johnson arrived announced to conduct a Pre-Licensing Inspection. LPA was allowed entry into the home that will be licensed for a capacity of 4 ambulatory residents. LPA met with Elmer and Kristine who assisted with today's visit. LPA toured and inspected the physical plant inside and outside to ensure there are no health and safety concerns. LPA observed there are 4 residents at this time. LPA observed the kitchen area, dining area, bedrooms, bathroom, storage areas, and laundry rooms. LPA observed knives/sharps area to be locked. LPA observed required furniture, and lighting throughout the facility. The hot water temperature was measured during this visit. Facility shall maintain the hot water temperature within the required range of 105-120*F. The temperature inside the facility measured at 77*F which is within the required range of 68-85*F. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The first aid kit included supplies such as sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. LPA observed centrally stored medications area to be locked. LPA observed the fire extinguisher(s), smoke and carbon monoxide detector(s) in the home. Facility has central heating and air. LPA observed the area where the staff and resident files are locked and readily available for review. Component III conducted. There are no objections to licensure at this time. -Licensure pending.