Pre-licensing visit·May 7, 2024

On 05/07/24, Licensing Program Analyst (LPA) L. Salazar arrived at the facility for an announced pre licensing inspection. LPA was greeted by Licensee/Administrator and was allowed entry into the facility. LPA toured the facility inside and out with licensee. LPA entered through the front door and did observed the required postings in the entry. LPA observed the residence to be a single story, 4 bedroom/ 2 bathroom home. There is a dining room and living room observed to have adequate furnishings and lighting. All bedrooms were observed to have beds, personal lighting and chest drawers to accommodate 2 residents per room. LPA observed fire extinguisher to be new and charged with a service date of 04/2024. Smoke detectors were tested and observed to be operational. Carbon Monoxide detector was observed in the kitchen. Emergency lighting /flashlights and night lights in the hallways by the bathrooms were observed. LPA observed a adequate supply of towels. Hand washing signs observed. A supply of paper towels were observed in the bathrooms. Hot water temperature in bathroom measured at 107.4 degrees F. Non-Skid mats were not present in the shower. Grab bars were observed in resident bathroom, however, the staff / visitor bathroom, licensee will install. Kitchen observed to have supply of dishes, plates, pots and pans. Food storage and preparation areas are clear and appropriate for food preparation. Cleaning supplies and chemicals are locked in the garage. A locked cabinet in the kitchen is designated to store medications. Sharps/knives were observed in a locked drawer in the kitchen. Appliances observed to be in working order. LPA observed a 7 day supply of non-perishable food. (continued on LIC809-C) (Continued from LIC 809) First aid kit was observed. Washer and Dryer observed in the laundry room with additional storage space available in upper cabinets. Doors and passageways are clear and free from obstruction throughout the home. LPA toured the outside of the residence and observed a covered patio with a adequate outdoor seating for activities. A self-latching gate found to be working properly. There are no bodies of water on the premises. The following observed will need to be brought into compliance: Dust ceiling fans in bedrooms Touch up paint for baseboards, wall trim and bedroom door trims throughout the house, Posting of Ombudsman poster and visiting Policy Remove posters on walls from previous facility Fill in screw holes in bedrooms Paint or clean entry doorways and doors New trash can for room 101 Provide internet device for resident's telecommunications use Update the emergency disaster plan (LIC 610D) to reflect specific steps of what the facility will do in the event of an emergency disaster - specifically page 2, 4, 5. An exit interview was conducted and a copy of this report was left with licensee, whose signature confirms receipt of these documents.