Pre-licensing visit·October 27, 2022

Licensing Program Analyst (LPA) L. Xiong conducted an announced Pre-licensing Inspection. I met with Administrator Kimila Evans and Member Manager, Dwayne Story and informed them the purpose of the visit. The facility was, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout. Smoke detectors and carbon monoxide detector were tested and observed to be operational. The First Aid Kit was observed to have the required supplies. There was a locked cabinet in the kitchen for medications and knives/sharp objects. Cleaning supplies, chemicals, and hazardous materials were stored in the laundry room in a locked cabinet. Resident and personnel files will be stored in a locked facility office. The residents' bedrooms were observed to be furnished with bed, dresser, night stand, lamp, chair and adequate lightning. Mattresses were in good condition. A sufficient supply of linens and towels was observed. Bathrooms had non-slip rugs and grip bars equipped in the tubs/showers. Hot water was tested with a thermometer and reflected a temperature of 120 degrees Fahrenheit. A self-latching gate was also observed. Component III was conducted and completed. Exit interview was conducted. Pending licensure by Centralized Application Bureau (CAB)