Facility Evaluation Report

Licensing Program Analyst (LPA) Iby Strong, conducted an announced Pre-Licensing inspection. LPA met with Administrator Ariane Phillips and discussed the purpose of the visit.

LPA conducted a tour of the facility, both inside and outside. During todays visit LPA observed a fence limiting access to the open bank on the property. Additionally, the walls and floors were complete.

The smoke and carbon monoxide alarms were present. Toilets intended for client use were operating as intended, and bathing facilities were observed to be clean and kempt. The windows, blinds and paint throughout the facility, were observed in good condition. Each room intended for client use had the appropriate furniture, bedding and appropriate lighting. Administrator stated there are no firearms stored on the premises.

Hot water temperature was measured in the facility at 120 degrees F. The ambient temperature inside the facility was measured at 77 degrees F. The facility was observed to be clean and kempt with no strong malodors. The refrigerators and freezers were observed to be clean and operational, with an ample amount of food to meet clients needs. Cleaning solutions were also properly secured. Medications were locked in medication box.

The Component III portion of the application process was completed with Administrator Ariane Phillips.

Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted. The Applicant will be provided a copy of their Appeal/Licensee rights (LIC9058 3/22) and this report on todays date.