Facility Evaluation Report

On Thursday September 7, 2023, Licensing Program Analyst Melissa Parks arrived to conduct a prelicensing inspection without residents in care.

LPA toured the facility with Licensee Daisy Pyrrhus and Administrator Barbara. This facility has a fire clearance for 6 nonambulatory residents. This facility also has a pending Dementia program. LPA observed audible alarms on all facility doors. There are 5 resident bedrooms and 3 bathrooms. Showers have required nonskid mats. Kitchen is clean and organized. All knives and sharp objects are kept inaccessible to residents. All appliances in the kitchen are observed to be clean and operational. Toxins and cleaning supplies will be kept inaccessible to residents in the laundry room. Medications are to kept locked in a cabinet in the kitchen. Backyard was clear of debris and hazards.

Facility has one fire extinguishers located in the kitchen. Facility has a fully stocked first aid kit.

Component III has been completed at this time with Administrator Barbara.

The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau.

An exit interview was conducted with Licensees and a copy of this report was emailed to the facility.