Facility Evaluation Report

ON 5/4/2023 at around 9:15AM, Licensing Program Analyst (LPA) L. Ibo conducted an announced pre-licensing inspection. License application is for four (4) total capacity, all ambulatory. LPA was met by applicant Salian Boatner.

LPA toured the facility inside out with Salina Boatner. There is a body of water at the facility’s backyard. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, family room, kitchen, bedrooms. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for clients' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for clients' use. Food supplies checked and observed sufficient good for seven days of non-perishables, LPA advised applicant that once she admitted the first client the facility needs 2 days of perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer, and dryer. Bathroom/shower was observed equipped with grab bars and non-skid mat.

A new fire extinguisher was observed fully charge. The two-in-one carbon monoxide and smoke detector was tested and observed operational. First aid kit inspected and observed complete with manual. Facility has flashlight for emergency lighting. Hot water temperature in the bathrooms was tested. Ombudsman and complaint posters, Right to Resident Council, Right to Family Council, Theft and Loss Program/Policy and Residents Personal Rights were observed posted in the prominent place.