A tour of the single-story facility included the living room, kitchen, dining area, 5 client bedrooms, 3 bathrooms, laundry area, front yard, backyard, and detached garage. During the tour the following was observed: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables. Sharps were observed locked in a kitchen cabinet. Chemical and cleaning solutions are kept locked under the kitchen sink. The First Aid kit is kept above the medication cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway cabinet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a medication cabinet located in the kitchen. Client files are kept in the medication closet. Staff files are kept at a nearby corporate office and are immediately available upon request. All bedrooms have all required furniture, lighting, and bedding. All bathrooms were observed with shower mats. The water temperature was tested in all bathrooms and measured at 118.9 degrees F, 119.4 degrees F, and 119.3 degrees F, which is within the required 105-120 degrees F. Two fire extinguishers were observed in the kitchen and hallway and are is fully charged. Smoke detectors combined with carbon monoxide were observed throughout the facility and in each room and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.

LPA reviewed medication for all 5 clients and observed that medications are documented properly and given as prescribed. LPA reviewed files for all 5 clients and 6 staff. LPA reviewed P&I funds for all 5 clients with Administrator present. LPA interviewed 1 client and 2 staff. The 4 other clients were at their day program during this visit.