Love You Dad 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday March 11, 2026, to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (6) and staff (2) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. LPA and Administrator Ilona toured the facility together to ensure the health and safety of residents in care. The following areas were inspected: resident bedrooms, bathrooms, kitchen, garage and backyard. Facility was clean and well organized. Facility was current on fire drills. Facility had a fully stocked first aid kit. All required postings were observed. All chemicals and knives were kept locked and inaccessible to residents. Carbon monoxide detector was observed. LPA obtained a copy of current liability insurance. Exit interview conducted. No deficiencies cited. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Mar 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Graham Gunby arrived on Wednesday March 12, 2025 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA Gunby reviewed resident (5) and staff (3) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. LPA obtained the facilities liability insurance. LPA Gunby and Administrator Ilona toured the facility together to ensure the health and safety of resident in care. The areas toured included bedrooms (5), bathrooms, kitchen, common areas, back yard and garage. All chemicals, toxins, and sharps were kept locked and inaccessible to residents. Facility has one (1) fire extinguisher, in the kitchen. In the areas toured, there were no health or safety violations observed. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Mar 12, 2025

Type of visit: Case Management - Incident

LPA Parks arrived on Tuesday May 21, 2024 to conduct a case management visit. LPA met with Administrator Ilona and explained the purpose of the visit. This is a follow up visit for a non-hospice death that occurred on 5/14/2024 and submitted to the Department on 5/15/2024. During today's visit, LPA interviewed staff regarding their observations of R1. LPA obtained and reviewed the following documents: LIC601, DNR, LIC602, and LIC625. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, May 21, 2024

Type of visit: Post Licensing

On Wednesday May 1, 2024, Licensing Program Analyst Melissa Parks arrived to conduct an unannounced postlicensing inspection. LPA reviewed 2 resident and 2 staff files. All resident files contained the required paperwork. Staff files contained the required paperwork and training. Facility is current on fire drills. First aid kit is fully stocked. LPA toured the facility with Administrator Ilona. The following areas were inspected: backyard, resident rooms, resident bathrooms, kitchen, and common area. No deficiencies cited. An exit interview conducted. A copy of this report was emailed.the state’s words, verbatim · CDSS document, May 1, 2024

Type of visit: Prelicensing

On Wednesday January 31, Licensing Program Analyst (LPA) Melissa Parks arrived to conduct a prelicensing inspection with residents in care. LPA reviewed 5 resident files and 4 staff files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. LPA toured the facility with Administrator Ilona. This facility has a fire clearance for 5 non-ambulatory residents and 1 bedridden resident. There are 5 resident bedrooms and 3 bathrooms. Water temperatures were within the required range. Showers have required nonskid mats. Kitchen is clean and organized. All knives and sharp objects are kept inaccessible to residents. Medications are kept locked in kitchen pantry. Backyard was clear of debris and hazards. Facility has a fully stocked first aid kit. Component III has been completed at this time with Administrator Ilona. The facility appears to be in substantial compliance and ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator and a copy of this report will be left at the facility.the state’s words, verbatim · CDSS document, Jan 31, 2024

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Facility Type: RCFE Capacity: 6 Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Jan 24, 2024