Licensee and LPA conducted a full tour of the entire facility. This facility has five resident bedrooms (one is dual occupancy), four full bathrooms (three are on-suite and one is for public use). There is a living room with dining space, a kitchen and office area. A staff bedroom is located off the dining room. Access to the laundry room and garage is through a locked door for resident safety. LPA noted that the backyard and the front yard both have seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 01/22/2025. LPA tested facility water and was within regulation temperatures 105*-120* (f). LPA observed at least 2 days of perishable and at least 7 days of nonperishable foods. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a cabinet in the kitchen area. Staff and client files are locked in the office area near the dining room. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review.

LPA and Licensee/Administrator conducted a review of the annual care tool modules.

Exit interview, report signed, and report provided.