Facility Evaluation Report

Licensing Program Analyst (LPA) R. Campbell, conducted an announced Pre-licensing visit on 08/11/2022 with facility Administrator and Licensee applicant Rebecca Hammond . LPA arrived at facility at 1:40 pm. Administrator and Licensee accompanied LPA on facility tour. As of today, current census is 0 residents. The facility is a 4 bedroom, 2 1/2 bath house with a living room, dining room, kitchen, and laundry room. Residents have access to all areas. Upon entry, LPA’s temperature was taken and LPA was screened for COVID signs and symptom questions.

LPA toured the facility. No residents were present. LPA measured the hot water to be 117 degrees in hallway bathroom within regulatory range of 105 *F and 120 *F.

Observed medication area that is locked with proper storage. COVID Precautions in place including signage, PPE storage and 30-day supply. Isolation rooms designated. LPA observed no obstruction of emergency exits. Exit signs in place as appropriate. Fire extinguisher in place in kitchen and laundry room and fully charged. A copy of this report was provided to Rebecca Hammett immediately after inspection .

There were no deficiencies observed during today's Pre-licensing visit.