LPA toured the facility and observed that the facility consists of a front living room, an Administrator office area, storage room closet, a kitchen, four bedrooms and two bathrooms. LPA observed 2 resident bathrooms, and hot water temperature read at 133 degrees in bathroom one. In bathroom two, hot water temperature read at 136 degrees. Both facility bathrooms did not have shower mats or shower supplies. In the kitchen, hot water temperature read at 126 degrees. The facility maintains a comfortable temperature of 71 degrees. LPA observed working smoke detector and carbon monoxide detector. The facility did have hallway lights. Resident room 1 will occupy 2 residents. Resident room 1 did not have 2 dressers or a second lamp. Resident room 3 did not have a dresser. Resident room 4 did not have an assembled dresser. LPA observed a complete First Aid Kit. Facility did not have complaint poster posted. LPA observed the fire extinguisher without date tag. LPA observed sharp objects, soaps and toxins in unlocked cabinets in the kitchen. LPA did not observe a 7-day supply of non-perishable food. The refrigerator read at 73 degrees and the freezer read at 72 degrees. LPA toured the exterior of the facility and observed screens on all the windows and observed a side gate that could not be closed. The facility did not have a washer or dryer. The facility had an adequate supply of PPE. The facility did not have appropriate signage for covid-19 posted at the front entrance of the facility. Resident and staff records will be kept in a locked filing cabinet near the Administrator office area. Resident medications will be kept in a locked cabinet and in a locked storage closet. The facility has been fire cleared for 6 total residents.

Exit interview conducted, copy of report provided, emailed for signature