LPA conducted tour with Manager. The facility was observed to be at a comfortable temperature, in good repair, with no passageway obstructions or fire hazards. LPA observed vomit on the living room floor at entry. Manager asked staff to clean up. Medications, First Aid, and Sharp items locked in a cabinet in the laundry room. LPA observed cleaning supplies and chemicals locked in the laundry room cabinets. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 07/18/2024 and was fully charged. All common areas were properly furnished and well-lit throughout. Smoke Alarm and Carbon Monoxide detector tested and operational. LPA toured 4 resident rooms and an office. All client bedrooms toured and observed to be adequately furnished. At 12:03 PM LPA observed resident’s bedsheet was stained and need of cleaning. LPA asked Manager to replace sheet and place the current one in wash. Extra linens observed in the hallway closet. The exterior tour was conducted. The backyard was observed to have sufficient seating. The pool was gated and locked. Sufficient covered area for recreational use. The backyard gate was self-latching and self-closing. Medication was reviewed. Staff records were reviewed for good health and training, all clients’ records reviewed to have Admission Agreement, Physician’s Report and emergency contact information. LPA observed 1 out of 4 residents did not have the required documentation regarding Acceptance and Retention guidelines. Facility also did not have hospice care plan for resident. After further review LPA learned facility did not have a Hospice waiver for said resident. LPA discussed the requirements and emailed regulations via email. Last fire drill completed on 10/16/2024.