It is a two story building with five (05) bedrooms, six (06) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for six (06) ambulatory clients.

At the main entrance, LPA observed a maintained front entrance and driveway. Postings were observed for the activity schedule, weekly menu, clients rights form, rights of resident councils, confidential complaint information, facility sketch, and Public Health License and Clinical Laboratory Certification. The Emergency Disaster Plan was posted in the medication room.

Walls, floors, windows, screens, and blinds were clean and in good repair. The front and rear activity rooms contained new furniture in good repair, activities, board games, a ping pong table, televisions, and a covered fireplace. At 9:25 a.m. LPA measured the room temperature to be 76 degrees Fahrenheit. Cameras were observed in common areas and the exterior.

LPA observed an adequate supply of perishable and non-perishable foods in the kitchen refrigerator, freezer, and pantries. The stove hood was clean. Appliances were new and sanitary. Sharps were locked in a lock box in a drawer. At 9:30 a.m. the refrigerator and freezer temperatures were measured to be 36 and 0 degrees Fahrenheit, respectively.

At approximately 9:40 a.m., smoke and carbon monoxide detectors were tested and operational. Auditory alarms were turned on and functioning. At approximately 9:45 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last inspected on 02/12/24. Two (02) out of two (02) emergency exit pathways were free of hazards with unlocked exit gates.

The medication room was locked and contained two (02) refrigerators for specimen samples and medication, a complete first aid kit, a medication storage area, a staff bathroom, a storage area for the client computer, and an office area. Hallway closets were locked and contained art supplies, extra computers, hygiene supplies, and PPE. The garage was locked and contained exercise equipment, cleaning supplies, emergency water, and extra storage space.

The facility has five (05) bedrooms upstairs. One (01) bedroom is shared, and the other four (04) are private. All bedrooms contained a chair, lamp, nightstand, storage, facility sketches with evacuation routes, and a bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #1, Bedroom #2, and Bedroom #3 have private bathrooms. All bathrooms contained liquid soap, handwashing instruction sign, trash can with a tight fitting lid, and a non-skid mats in the shower. The shared bathrooms had paper towels, and the private bathrooms had personal hand towels. At approximately 10:05 a.m. LPA measured the water temperature to be 107.6 degrees Fahrenheit.

The laundry room was locked on the second floor. It contained a new and operable washing machine and dryer. A linen closet was located near the laundry room. It contained an adequate supply of fresh beddings and towels. The stairway steps had non-skid strips on the edges and a secure handrail.

At 10:30 a.m. LPA and the Directors completed Component III. At 11:30 a.m. the facility vehicle was inspected to be operable with functional windows and seatbelts.

During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed during today’s visit. Pre-licensing is complete and this facility has no deficiencies.

Exit interview conducted. Copy of report provided.