Administrator and LPA conducted a full tour of the facility, and facility grounds. There is a large fenced backyard with garden, ample seating, awning for shade for residents and guest. This facility has 5 resident bedrooms, and 3 resident bathrooms. There are two living rooms, a kitchen, dining room and laundry room. The facility utilized a locked mobile medication cart that normally kept in the back of the dining room area. LPA observed all resident bedrooms and bathrooms all found to be compliant with regulation standards. LPA observed full facility and facility grounds and found all to be compliant with regulation standards. LPA noted that there is a complete first aide kit on hand at the facility. LPA noted that the facility food supply that currently meets or exceeded licensing standards of perishable and non-perishable foods for 6 residents and staff. LPA noted that all exits and hallways were free and clear from obstructions. LPA noted that there are smoke detectors throughout the facility and a carbon monoxide detector that are all functional and working. LPA noted that the facility is clean and in good repair. LPA reviewed staff and client files with no issues. LPA conducted a cursory medication audit and found no issues. LPA observed and reviewed facility Emergency Disaster Plan and Infection Control Plan with Administrator. LPA noted that no violations or citations were issued as a result the the facility physical tour.

Administrator and LPA conducted a full review of the annual care tools modules and discovered no issues, technical, violations, or citations. LPA noted that there were no citations or violations as a result of this annual facility inspection.

Exit interview, report read, and report provided.