Facility Evaluation Report

On 5/7/25 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived announced to conduct a pre-licensing inspection. LPA met with Administrator, Lauren-Tyler Riley and explained the purpose of the visit. The facility currently has no residents.

LPA toured facility with Administrator including but not limited to 5 bedrooms, 2.5 bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 68 degrees F and hot water temperature was maintained at 115.7 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 1/17/2025.

No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Branch (CAB) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAB. Additional requirements may still be required.

Exit interview conducted and a copy of this report provided.