Kitchen: The facility has a sufficient supply of non-perishable and perishable food items. Currently residents have feeding tubes, but facility continues to follow regulation standards. Cleaning supplies and disinfectants are stored and locked in a cabinet under the sink and inaccessible to clients. Knives are stored in a locked drawer.

Common areas: Living and dining room furniture were observed to be in good condition. LPA observed required postings throughout the common space. The fire extinguishers were charged and are scheduled for service. The backyard has a covered area for shade and is equipped with furniture for client and visitor use. No bodies of water noted. The washer and dryer are in the laundry room.

Restrooms: The three restrooms were clean and sanitary and in operating condition. The bathrooms were sufficiently stocked. Two of the three restrooms have Hoyer lifts built in for client support.

Bedrooms: There are five (5) client rooms, which were furnished with linens and required furniture. Extra linens and towels are stored on a mobile cart and in client rooms. Each bedroom has a built in Hoyer lift, a treatment cart, and is individually designed to support the comfort of the residents.

LPA reviewed five (5) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, current first aid certification. All files were complete. Additionally, LPA reviewed the monthly training conducted by the facility and found staff are supported with a variety of training's that ensure client support, care, and well-being is encouraged and maintained.

Disaster Planning: The last disaster drill was conducted on 12-9-24. Facilities Emergency Disaster Plan was reviewed. Fire sprinklers inspected annually by landlord. Smoke and carbon monoxide alarms are hardwired and tested quarterly. Facility has “to go bags” for each client in case of emergency and has thought through the needed items to gather if time permits, if no time permits then the “to go bags” have those specialty items to ensure they can provide for 24 hours.

Medications: Medications review done by LPA. Medications are centrally stored and locked in various carts and in Medication closet. 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 appropriate.

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