Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to complete pre-licensing inspection. LPA met with administrator Steve Heydon during today's inspection. LPA met with fire inspector to review floor plan and fire clearance. Currently there are 3 residents at the facility.

LPA observed facility has corrected the following:

The facility has locked kitchen cabinet which stores the kitchen knives.

Cleaning supplies in the garage are locked.

Resident needs and service plan is completed.

This report will be forwarded to the centralized application unit for continued processing.