Pre-licensing visit·August 21, 2024

Licensing Program Analyst (LPA) Zabel Chochian conducted a Pre-licensing visit. Upon arrival LPA met with Applicant representative Dylan Hull and Administrators Tracy Varnell, Kathleen Leiterman, Kim Anderson. Administrators share duties and responsibilities at all 3 facilities. Applicant currently operates three other licensed facilities therefore Component III was waived for applicant. Fire Clearance for this facility is approved for six (6) non-ambulatory rooms, of which one (1) may be bedridden. The facility has a hospice waiver for six (6). Upon arrival a tour of the physical plant was conducted with Dylan Hull and Tracy Varnell; the LPA inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service. New complete first-aid kit observed; facility has adequate linen, water, nonperishable food supplies. Facility has six (6) non-ambulatory client bedrooms, two (2) staff rooms, four (4) full resident bathrooms, one (1) staff bathroom and a guest bathroom. One resident bedroom was observed staged with all required furniture during todays visit. Hot water temperature measured in residents bathroom which measured between 113 and 115 degrees Fahrenheit. Resident bathrooms observed with grab bars and non-skid shower floor. The kitchen, dining and living areas observed appropriately furnished. There are no bodies of water on the premises. Facility has working alarms on all exits and Smoke/Carbon Monoxide detectors. All medications, chemicals and sharp objects are in locked cabinets/drawers. Laundry area observed with washer and dryer. Backyard is completely fenced and gated. There is a covered area in the backyard for outdoor activities. The backyard is currently undergoing landscaping. Mr. Hull stated that the landscaping should be finished soon. LPA observed the detached garage under construction/upgrading to an office space for Administrators. Garage was observed to have a lock and Mr. Hall ensured that this area will be kept inaccessible to residents until the work is complete. The side of the house observed with landscaping and lumber supplies. This area should be cleared prior to licensure. Mr. Hull agreed to clear out the area and submit photos. Upon receipt of the photos LPA will forward the report to the CAB analyst. Applicant will be notified by the CAB Analyst when 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. Exit interview conducted and copy of report provided.