Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Thursday October 26, 2023 to continue the prelicensing inspection. This application is a change in ownership with residents in care.

Applicant has fixed the previous issues: non-skid mats not observed in all resident showers, incomplete first aid kit, and no safety measures in resident apartments to address behaviors such as ingestion of toxic materials. LPA observed a complete first aid kit, non-skid mats in shower rooms, and locks on bathroom cabinets to secure personal hygiene and grooming supplies.

LPA observed the facility to have a secured perimeter which the recent fire inspection clearance does not show approval. LPA obtained a waiver letter requesting for a secured perimeter from the Administrator. If approved, the Department will request a fire inspection to be conducted.

Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) that facility did not meet all the pre-licensing components yet. A copy of this report was provided to the facility. Exit interview conducted.