Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Parks arrived on Monday April 8, 2024 to conduct an announced prelicensing visit.

The Compliance and Regulatory Enforcement Tool was used during today's inspection. This facility has a fire clearance for 6 nonambulatory and a staff bedroom. Facility has all required postings in the hallway.

LPA toured the facility with Licensees Gretchen and Russell. The following areas were inspected for compliance: kitchen, backyard, resident apartments, resident bathrooms, staff bedroom and common areas. Facility has a current fire extinguisher and a full first aid kit. Medications will be kept locked in a closet in the hallway. Cleaning chemicals and knives/sharps will be 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.