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25 | Licensing Program Analyst (LPA) Jill Clancy-Czuleger, conducted an announced pre-licensing inspection. License application is for 6 total capacity, of which 0 maybe non-ambulatory. Fire clearance was granted on September 13,2023. LPA met with Tracy Stanifer (applicant-licensee).
LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. Fire extinguishers were observed fully charge. The two-in-one carbon monoxide and smoke detector tested and observed functional.
The following corrections are needed:
First aid kit checked and observed without manual.
Hot water temperature in bathroom tested and measured at 122.3 degrees Fahrenheit.
Upon receipt of proof of corrections for the items above, LPA Clancy-Czuleger will come to the facility again to verify. Once LPA has verified the corrections, LPA will inform CAB. Issuance of license is pending upon final review by CAB analyst.
Exit interview conducted and copy of this report provided |