Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Parks arrived on Monday June 24, 2024 to conduct an announced prelicensing visit. This is a change of ownership with residents in care.

The Compliance and Regulatory Enforcement Tool was used during today's inspection. This facility has a fire clearance for 6 nonambulatory residents, of which 1 may be bedridden, with a total capacity of 6. Facility fire clearance also approved 2 bedrooms which may be used for staff. Facility has all required postings in the entry way.

LPA toured the facility with Administrator Yas. The following areas were inspected for compliance: kitchen, backyard, resident rooms, bathrooms, garage and common areas. Facility has a current fire extinguisher and a full first aid kit. Medications are kept locked in the kitchen. Cleaning chemicals and knives/sharps are kept locked and inaccessible to residents.

Component III has been completed at this time.

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 Administrator and a copy of this report will be left at the facility.