LPAs inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. At 09:59AM all hard-wired smoke alarms and carbon monoxide detectors were tested and function properly. LPAs observed one fire extinguisher to be fully charged.

There are three (3) double occupancy bedrooms for resident use. There is no-live in staff. Facility must have 24-hour wake staff. Each bedroom is equipped with adequate mattresses, pillows and bedding. There is sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. The facility has two bathrooms for resident use. Resident bathrooms contained appropriate non-skid mats and grab bars. Bathrooms have sufficient paper products. Night-lights were present in the main hallway. Both hot water measured at 113.5 Fahrenheit at 09:51AM and 112.5 at 09:46AM.

LPAs toured the kitchen area at 09:54AM. The facility has (7) day supply of non-perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives are stored in a locked cabinet. The kitchen has a sufficient supply of plates, cups, cook ware and utensils. Range inaccessible. Hot water measured at 112.9 Fahrenheit at 11:15AM.The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. Enough seating in dining area for all 6 residents . A working telephone is present. There are activity supplies.

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Laundry area is located in the backyard. Laundry detergents and personal hygiene items are stored in a locked cabinet next to laundry area. There is an additional unit with the address of 6521 Bellaire Ave that is not part of the license. There is an adequate supply of emergency water, along with emergency nonperishable food items kept in kitchen. There will be no firearms/ammunition stored on the property.

The facility has required postings, including emergency exit plan, Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights.

Facility has one central entry point designated for universal screening. Alcohol-based hand sanitizer available upon entry. Signs are posted throughout the facility to promote handwashing, and cough/sneeze etiquette. Facility has an adequate 30-day supply of Personal Protection Equipment (PPE).

The exterior passageways were clean and clear of any obstructions. There are no bodies of water on the premises at the time of the visit. The LPAs observed the backyard, which has a covered outdoor area for resident use. There is a self-latching gate on the side of the house designated for an emergency exit. Physical plant is consistent with the submitted facility sketch/floor plan.

During today’s visit, LPA's reviewed facility’s program plan, personnel policies, abuse reporting procedures, in-service training protocol, and medication procedures.

Comp III conducted during visit.
This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved.

Exit interview conducted. A copy of the report was emailed during visit.
The physical plant of this facility location is in compliance with Title 22 regulations at this time.