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25 | On 03/26/21 at 3:00PM, Licensing Program Analyst (LPA) Daisy Panlilio conducted a tele-visit for pre-licensing and met with applicant/administrator. Due to COVID-19 shelter in place, applicant was not physically available to sign this report.
During the tele visit inspection, LPA toured the facility with applicant including but not limited to residents' bedrooms, common areas, kitchen, and outdoor area. LPA observed adequate lighting in the house. There are designated individual locked storage cabinets for cleaning supplies, knives and medications found in the kitchen and garage areas. Indoor and outdoor passageways were observed free of obstruction. There were no bodies of water observed. Smoke and carbon monoxide detectors were observed operational. First aid kit is complete. LPA advised applicant that hot water temperature should be maintained between 105 degrees F and 120 degrees F. LPA observed 2 days supply of perishable and one week supply of non-perishable foods. More food supply will be available once facility starts admitting new residents. Towels, sheets, activity supplies and hygiene products were observed available. The facility has 2 full bathrooms with 4 bedrooms. LPA observed the shower area has non-skid floor mats and trash bins with lids. There are activity materials observed in the living room. The backyard has a shaded area with chairs and table for residents' use. LPA observed fire extinguisher fully charged with purchase receipt dated 03/22/21 taped around cylinder.
LPA observed no deficiencies during visit and that facility is ready to be licensed. This report will be submitted to the Central Applications Branch (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required.
Exit interview conducted and a copy of this report provided to applicant/administrator via email. |