According to the facility’s License, the facility has a maximum capacity of six (6) clients, all of whom must be ambulatory. During today’s inspection, there were a zero (0) clients in care, and per medical records, all were ambulatory.

LPA, accompanied by the facility Licensee and Administrator staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was 71 F. Hot water temperature measured at 112 degree Fahrenheit at taps accessible to clients.

LPA observed at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.

[CONTINUED ON LIC 809C]

Facility records were complete. reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance and surety bond.

No deficiencies were observed or cited during today's annual inspection.

An exit interview was conducted with Administrator Carrie Baum, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.