Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in a kitchen cabinet and inaccessible to residents. The smoke detector and carbon monoxide detector were operational. LPA observed fire extinguishers to be in compliance with the department requirements and with an expiration date of 09/18/2025. LPA observed the hot water temperature to meet requirements at 111.2°F.

Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.

Record Review and Resident/Staff Files: LPA reviewed files for Three(3) staff members, confirming criminal clearances, and CPR/First Aid certification. A fourth staff member personal file was no available for LPA to review. A citation will be issued. Five (5) residents' files were reviewed and contained all required documentation. LPA observed first aid kit, Staff and resident files to be stored in a locked cabinet in the hallway.

Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the hallway. LPA reviewed medications for six(6) residents, confirming that all medications were listed and accounted for.

Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 10-1-2024, which met department requirements. All facility exits were clear of obstructions.

An exit interview was conducted, during which this report was reviewed, and a copy was provided to house manager Dawn Jensen along with the appeal rights