A file review was conducted prior to todays’ visit.

LPA and the applicant toured the facility inside and out at 9:05 a.m.

The facility is a single story building with three (03) bedrooms, three (03) bathrooms, kitchen, garage, common areas, and an outdoor area. It has an approved fire clearance for six (06) residents, of which five (05) may be nonambulatory and one (01) bedridden in any bedroom. The facility plans to serve residents with dementia and has a dementia care plan. Approved hospice waivers for five (05).

At the main entrance, LPA observed a maintained front yard and a surveillance camera covering the front area. Postings were observed inside for confidential complaint contacts, Ombudsman contacts, theft and loss policy, non-discrimination notice, rights of family councils, rights of resident councils, personal rights, administrator certificate, emergency disaster plan, and facility sketch. Facility sketches with evacuation routes were posted in each bedroom as well. A screening station was set up at the front containing masks, gloves, and hand sanitizer.

Walls, floors, windows, screens, and blinds were clean and in good repair. All windows had auditory alarms which were operable. At 9:15 a.m., LPA tested five (05) out of five (05) auditory alarms on exit doors to be operable. At 9:20 a.m. LPA measured the room temperature to be 76 degrees Fahrenheit. The living room contained new furniture in good repair along with board games, activities, and television. At approximately 9:25 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was purchased on 04/23/2024. A complete first aid kit was inspected at 9:30 a.m. It contained a manual, bandages, dressings, scissors, tweezers, and a digital thermometer.

LPA observed an adequate supply of non-perishable food and emergency water in the kitchen pantry. The stove hood was clean. Appliances were new and in good condition. Sharps were locked below the counter near the stove. Cleaning solutions and detergent were locked under the sink. Medications were locked in a cabinet near the microwave.

The facility has three (03) bedrooms. All bedrooms are shared and contained a chair, lamp, nightstand, storage, dresser, and emergency lighting. The bed in Bedroom #2 had adequate bedding, pillows, and sheets. All furnishings were clean and in good condition. Bedroom closets contained adequate supplies of fresh linens and towels.

The facility has three (03) bathrooms. Each bedroom has a designated bathroom. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and non-skid mats and surfaces in the shower. At approximately 10:00 a.m. LPA measured the water temperature in the bathroom in Bedroom #3 to be 106.2 degrees Fahrenheit.

LPA observed a covered patio area in the rear of the facility. The patio was clean and free of debris. The back yard contained fruit-bearing trees and a gardened area. Sturdy ramps led out from each room and exit door. The emergency exit path on the north side of the facility was free from obstructions. The exit gate was unlocked from the inside and locked from the outside. The garage was locked from the outside and contained tools and extra supplies.

At 10:30 a.m. LPA and the applicant reviewed Component III.

During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed.

Prelicensing is complete and this facility has no deficiencies.

Exit interview conducted. Copy of report provided.