Kitchen: The facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored and locked in a cabinet in the garage and laundry room, inaccessible to clients. Knives are stored in a locked drawer in the kitchen.

Common areas: Living and dining room furniture were observed to be in good condition. At 1 p.m., carbon monoxide detector was tested and operational at the time of the visit. LPA observed required postings throughout the common space. The fire extinguishers were charged and serviced 1/9/2024.

The backyard has an umbrella for shade and is equipped with furniture for client use. No bodies of water noted. The washer and dryer are in the laundry room the laundry room is locked.

Restrooms: The three client restrooms were clean and sanitary and in operating condition with non-skid bottoms. The bathrooms were sufficiently stocked with soap and paper towels. Around 4 p.m., the hot water temperature measured in the kitchen at 114.2 degrees Fahrenheit.

Bedrooms: There are four (4) client rooms, which were furnished with appropriate linens and required furniture. A linen closet was located outside of the rooms, which stocked extra linens and towels.

Records: LPA reviewed client records at 12:10 p.m. LPA reviewed four (4) client files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and needs and services plan. Continued on 809-C

Medications: Medications review began around 2:40 p.m. medications are centrally stored and locked in a closet in the hallway. Medications are labeled and checked for expiration dates.

Infection Control: The facility has an infection control plan. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient.

LPA interviewed 2 residents and 2 staff around 3pm.

Exit interview conducted. A copy of the report was issued.