Pre-licensing visit·January 23, 2026

Announced pre-licensing visit was made with Applicant Jeanna Pamittan. LPA Jason Lund explained the reason for the visit. Census:0 The facility will be licensed to serve up to (6) clients at any given time. This applicant has a hospice wavier for six. The facility has six non- ambulatory and six bed ridden. Tour/Inspection of the facility was conducted. LPA toured/Inspected the dining area, living area, and all other areas intended for client use. LPA observed to be furnished and maintained in compliance at this time. The Facility had a Medication closet (locked) where medication will be stored. The first aid kit was observed in the Medication closet to be present and contained all required components at this time. A tour of the (5) resident bedrooms, was conducted. The facility will have one room with two residents per room and 4 private rooms. Furnishings intended for use by the residents were observed to meet the needs of the residents at this time. There are two linen closets, they were observed to contain a sufficient supply of towels and linens able to meet the needs of the residents at this time. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and walkways were observed to be maintained in compliance at this time. The facility has five fire extinguishers (9/26/2025) and a working telephone. Applicant Jeanna Pamittan completed the Component 111 requirements. This facility has been found to be in compliance at this time. An exit interview, report left.