LPAs along with licensee toured the facility at 2:20 PM. LPAs toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 5 resident bedrooms, living room, dining room, and kitchen as well as 3 restrooms. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105 degrees F and 116.6 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPAs toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. One stove burner out of five was not operational during today's visit. Phone line connector in living room has exposed wires. LPA has requested to have these items fixed prior to licensing. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. Facility conducts quarterly emergency drills with the last drill conducted on 11/15/2024. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. First aid kit contained all required items including tweezers, scissors and thermometer. There is shaded outdoor seating for residents. Exit gates are unlocked and operational. LPAs observed the emergency food and water supply. LPAs reviewed medication storage and administration. Medications are stored in a locked closet. LPAs to return on 1/6/2025 once repairs are made.

An exit interview was conducted and a copy of this report was provided to the Licensee.