LPA toured facility with Administrator and Licensee. The facility is a 4 bedroom and 2 bathrooms currently occupying 2 residents and employs 3 staff, 1 live-in Licensee, and 1 Administrator. The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors functioning throughout the facility. Fire extinguishers were fully charged. Inside and outside passageways are free from obstruction. There are no bodies of water on the facility property. The facility temperature was 68 degrees F. Hot water temperature tested and read within regulation perimeters of 105*9f) to 120*(f) Residents’ rooms are appropriately furnished with adequate lighting , bedding and chair for reading. LPA observed more than two days of perishable and more than seven days of non-perishable food. A written disaster and mass casualty plan is readily available located on the facility Living room wall. Medications are stored in a locked cabinet in the Living room. LPA reviewed staff and client files, infection control plan and emergency disaster plan were all reviewed with annual signatures to assure current compliance. LPA conducted a sample medication audit and found no issues. LPA reviewed all staff for clearance and current Administrators Certificate.

LPA conducted a full review of the annual care tools modules and found no issues. LPA noted that there were no citations or violations as a result of the full annual inspection.

Exit interview, report read, and report provide.