Facility temp measured at 71 degrees The facility consists of 6 client bedrooms, 1 staff bedroom, 2 bathrooms, a living room, dining room, laundry room and kitchen.

This facility is licensed to serve 6 adults ages 18 – 59 years. A total of 6 clients are currently residing in this facility, 6 out of 6 clients are ambulatory. A total of 2 staff and six clients were present during this inspection.

At 2:12PM LPA Alemoh conducted physical plant tour.

Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises.

6 out of 6 client’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked.

Bathroom toilets and water faucets worked properly. Adequate lighting and toiletries accessible to clients. LPA Alemoh tested hot water temperature in the middle hallway client restroom, and it measured between 117- and 118 degrees Fahrenheit. This facility provides clients with residents with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb. All restrooms have proper hand washing signage posted.

LPA observed the laundry room to have appliances in good working order. All chemicals and toxins are secured in a locked white cabinet.

LPA observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Located in the pantry the kitchen. LPA measured temp at 118 degrees Fahrenheit. Facility keeps a water temperature log.

LPA observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Located in the pantry the kitchen. LPA measured temp at 118 degrees Fahrenheit. Facility keeps a water temperature log.

LPA observed that Medications were safe, locked and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. All Medication and knives are stored in a secure cabinet adjacent to the kitchen. Documents are posted as mandated. Last Disaster drill was conducted on 09/01/2023. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors are hardwired and in compliance and operational. One (1) Fire Extinguisher was observed throughout the facility purchase date is September ^1st, 2023.

At 3:00PM LPA conducted file review

Two (2) staff records were reviewed, 2 out of 2 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. Six (6) client records were reviewed and, 6 out of 6 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. LPA Alemoh reviewed P&I money, 6 out of 6 residents P&I were intact and were not commingled with facility funds or petty cash. All client/resident and staff files are locked in a small closet next to the kitchen in the dining room inaccessible to residents.

No deficiencies cited.

An exit interview was conducted. A copy of this report and appeal rights were discussed and left with Administrator Mary Jane C. Montiano.