Facility Evaluation Report

Licensing Program Analysts (LPA) Graham Gunby and Cheyenne Ratajczak arrived on Tuesday October 2, 2024 to conduct an announced prelicensing visit.

The Compliance and Regulatory Enforcement Tool was used during today's inspection. LPA reviewed one (1) resident file and one (1) staff file. All files contained the required paperwork. Facility has all required postings in the entry way.

LPA toured the facility with Administrator Sheryl. The following areas were inspected for compliance: garage, kitchen, resident rooms, bathrooms, backyard, and common areas. Facility has current fire extinguisher, carbon monoxide detector, and fully stocked first aid kit. Medications, files, and knives are kept locked in a closet in the laundry room. Cleaning chemicals are kept locked in the hallway closet 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 emailed to the facility.