Pre-licensing visit·November 16, 2022

Licensing Program Analyst (LPA) KaSandra Lopez conducted a subsequent pre-licensing visit to the above noted facility to follow up on corrections identified during the initial pre-licensing visit on 11/04/2022. The LPA met with applicants Helen Rose Busch and Johnna Udden. Since the initial inspection, the applicants submitted an updated facility sketch indicating bedroom #6 will now be a common activity room and bedroom #3 will be a resident room single occupancy. The total occupancy of six (6) residents remains the same. Residents will now have access to the backyard through the common activity room. The LPA conducted a physical plant tour of the facility. The LPA observed safety modifications on the knobs of the kitchen stove, two portable closets in bedroom #1 which are secured to the wall, and two self latching gates in the backyard. Pre-Licensing deficiencies have been resolved. Pre-Licensing is now complete. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.