Facility Evaluation Report

On 6/05/2024 at 11:48AM, Licensing Program Analyst (LPA), Carol Fowler arrived to conduct an unannounced continuation Pre-Licensing Inspection. LPA met with Administrator, Carolyn Daniels, and explained the purpose of the visit.

LPA reviewed two (2) staff files. All were current.

LPA conducted a Component Review, for the Pre-licensing Inspection which was conducted on 6/05/2024, with Carolyn Daniels, Administrator.

LPA presented Component III power point during visit and discussed the regulations embodied in the power point. LPA observed the participant gained knowledge about running and maintaining the facility in accordance with regulations.

Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept consumers until notified by Community Care Licensing that the license has been approved.

E xit interview conducted and a copy of this report provided.