Facility Evaluation Report

At 10:50 a.m. on this day, July 3, 2024, Licensing Program Analyst (LPA) Delmundo conducted an announced pre-licensing inspection, and met with Britney Edwards Hall, applicant-administrator. License application is for 3 total capacity, all ambulatory only. Fire clearance was granted on April 3, 2024.

Applicant submitted the LIC9282 Infection Control Plan and LIC610D Emergency Disaster Plan to Central Application Bureau (CAB) analyst.

LPA toured the facility inside out with applicant-administrator. LPA inspected the family room, kitchen, dining area, bedrooms, bathrooms, side and backyard. Bedrooms were observed appropriately furnished with adequate lighting and drawers. The facility has sufficient towels and linens. Supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed adequate for residents' use. There’s 7 days supplies of non-perishables and 2 days of perishables. Facility is equipped with refrigerator, microwave, dishwasher, washer and dryer. Kitchen cabinet under the sink where cleaning and laundry supplies were kept was observed locked. Central storage for medications and sharps was observed with lock. Common bathroom and ensuite bathroom were observed with non-skid mats. Passage way, hallways and deck in the backyard were free of hazards and obstructions. Deck and backyard were observed equipped with tables, chairs and shade.

Fire extinguisher was observed fully charge and according to applicant, it was purchased before facility was fire inspected. First aid kit inspected, and observed complete with manual. The 2 in 1 carbon monoxide and smoke detectors were tested and observed functional.

On this same day, LPA tested the facility telephone and observed working. LPA obtained a signed letter from the applicant stating a request to update the facility telephone number.