The facility is a one-story house with six resident bedrooms, one staff bedroom, four bathrooms, a living room/dining room, and a kitchen. LPAs observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the entranceway. There is a backyard with an exit gate on each side of the house. There is an Additional Dwelling Unit (ADU) which is permitted and a locked gate which has an empty swimming pool. There is a shaded seating area and LPAs did not observe any obstacles or hazards in the backyard.

LPAs toured the facility at 9:15 AM and observed all private resident bedrooms had the required furnishings of beds, lamps, chest of drawers and chairs. Each bedroom also has a ceiling fan and a television. LPAs greeted residents and inquired about their quality of care. LPAs inspected the physical plant and observed the centralized dual smoke alarm and carbon monoxide detector were in working order. LPAs tested hot water temperatures in four of four resident bathrooms, and auditory devices worked for all exits. The hot water temperature measured between 106.7 and 109.5 degrees Fahrenheit

The fire extinguishers were charged and were serviced in February and April 2024. LPAs inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs observed sharps and knives were in a locked drawer and chemicals were secured under the sink. The medication storage and resident files were locked and a First Aid kit was observed with the required elements.

(Continued on LIC 809-C)