The facility was last visited on 09/01/22 for a prelicensing visit. It is a single story building with four (04) bedrooms, four (04) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for six (06) ambulatory residents. Cameras were used in common and exterior areas.

At the main entrance, LPA observed postings for the neighborhood complaint policy. The driveway and front yard area were maintained. Additional postings were observed inside for the facility license, facility sketch with evacuation routes labelled, emergency disaster plan, confidential complaint contacts, ombudsman contacts, COVID precautions, personal rights, house rules, clinical license, visitation policy, and emergency contacts. A screening station had a visitor log and masks. Walls, floors, windows, screens, and blinds were clean and in good repair. Multiple indoor and outdoor fireplaces were observed. Fireplaces were turned off and appropriately screened. Shaded seating areas in the front and back yards had furniture in good condition. The back yard also contained exercise equipment, a designated smoking area, a fenced, locked, and inaccessible pool, three (03) grills, and two (02) detached offices. One (01) of the two (02) offices were locked. The garage was locked by a keypad and contained emergency water, PPE, hygiene supplies, chemicals and detergents, and a washer and dryer in good repair. At 9:20 a.m. LPA measured the temperature in the living room to be 72 degrees Fahrenheit. At 9:35 a.m. LPA observed two (02) fully-charged fire extinguishers in the kitchen. They were last inspected on 02/09/24. At 9:40 a.m. LPA measured the temperatures in the refrigerator and freezer to be forty (40) and zero (00) degrees Fahrenheit, respectively. Adequate supplies of perishable and non-perishable foods were observed in the kitchen and pantry. The stove hood was clean. Snacks and beverages were available in the dining area. Weekly and daily activity schedules were posted. Appliances were in good condition. Cleaners were locked below the sink. Sharps were locked in a closet labelled “Contraband”.

The living room contained a pool table, art supplies, reading materials, music equipment, television, games, and furniture in good repair.

The facility has four (04) bedrooms. Two (02) bedrooms are private, and two (02) bedrooms are shared. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition.

The facility has four (04) bathrooms. Two (02) bathrooms are private, and two (02) are shared. All bathrooms contained liquid soap, paper towels, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 10:00 a.m. LPA measured the water temperature in the shared bathroom to be 106.2 degrees Fahrenheit.

All emergency exit paths were free from obstructions. The exit gate was unlocked. At approximately 10:15 a.m., smoke and carbon monoxide detectors were tested and operational. All detectors functioned simultaneously during the test.

At 10:30 a.m. LPA conducted a record review of client and personnel files. All required files were complete and available for audit. At 11:30 a.m. the facility vehicle was inspected and deemed operational and safe.

During today's inspection, the facility was in compliance with Title 22 regulations.

Exit interview conducted. Copy of report provided.