Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 6/5/24 to conduct a Pre-licensing Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator arrived to assist.

LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care.

LPA reviewed 2 resident files. Files are complete.

LPA reviewed 2 staff files. Files are complete.

Component III waived as the Administrator has an existing license

No deficiencies are being cited as a result of todays inspection.

Applicant is in significant compliance. License Pending.

Exit interview conducted with licensee and copy of report left at the facility.