At approximately 11:10AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. Hot water measured within regulation. No pools/bodies of water are on the premises. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen contained cooking/dining equipment that was clean and orderly, utensils were present. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency water supply was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. Facility has been conducting emergency drills every 3 months.

At approximately 11:30AM, LPA conducted a review of medications. Medication is locked and not accessible. First aid kit was present. At approximately 9:35AM, LPA reviewed 3 of 3 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present.

At approximately 11:50AM, LPA reviewed 2 of 2 staff files. 1 of 2 files did not contain evidence of completed initial training. First Aid/CPR certification was current. All employees requiring background checks are cleared.

Continued on LIC809-C...