The facility is a two-story home with four bedrooms, one client bathroom, kitchen, dining room, living room, detached staff office, backyard and attached 2-car garage. The facility has a second floor with two staff bedrooms and a staff bathroom. House Manager stated clients do no go onto the second story. LPA observed residents to be away at day program. Facility appears clean and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. Facility had extra linens for clients in the hallway closet and the garage. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water initially measured below 105 degrees Fahrenheit. After adjusting the hot water heater, hot water measured at 106.9 degrees Fahrenheit in the common bathroom. LPA observed facility has emergency food and water supply. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in drawers in the kitchen and the garage. Medication for each resident is kept locked in a cabinet in the dining room. The backyard has two seating areas. Exit gate is unlocked and self latching. LPA observed exit gate to be unobstructed. LPA reviewed three of the five residents files, three personnel files and the P&I. Facility has board games, exercise equipment, electronics and a Pac-Man arcade for client use. Emergency contacts, Menu and Calendar are posted and available for review.

No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was provided to the facility.