The facility is a two-story home with four bedrooms, three bathrooms, kitchen, dining room, living room, staff office, backyard and attached 2-car garage. The facility's second floor houses two client bedrooms, staff office and one bathroom. LPA observed clients to be away at day program or out for the day. 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. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured at 112.9 degrees Fahrenheit in the upstairs bathroom, 109.3 degrees Fahrenheit in the downstairs common bathroom and 110.5 degrees Fahrenheit in the downstairs private 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 cabinets in the garage. LPA noted that the sharp objects are stored separately from the toxins and chemicals. Medication for each client is kept locked in a cabinet in the dining room. The backyard has two shaded seating areas. The exit gates are unlocked and self latching. LPA suggested to Lead Staff that the facility could consider placing a sign on the exit gate that exits to the driveway. LPA suggested that the sign read "PUSH GATE to Exit." LPA observed exit gate to be unobstructed. LPA reviewed two of the four client files, three personnel files and the P&I. Facility has exercise equipment, electronics for client use. Emergency contacts, Menu and Calendar are posted and available for review.

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