| Deducted | Remarks |
| 2 | 4.1.1 (c) Provide at least 1 chair in good condition in each rooming unit.// No chair in room #5 and #6.// |
| 4 | 4.1.2 (c) Provide a clean cover for such as a blanket or quilt for each bed as needed. Maintain in good condition.//Room #3 has damaged torn comforter.
4.1.1 (e) Maintain each bed in good condition and supply each bed with a clean supportive mattress and boxspring.// Stained mattress cover over box spring in room #3. |
| 3 | 4.2.8 Provide a supply of soap,single-use towels and toilet tissue in the bathrooms at all times.//No soap or paper towels in bathroom room 5 & 6 during inspection.//COS |
| 2 | 6.1.1 Maintain all interior walls, ceiling and floors in good repair.//Damaged walls in both bathrooms.
6.1.2 Maintain all interior walls, ceilings, floors, windows and woodwork in clean condition.//Black residue on bottom walls near toilet.//Holes on walls behind door and bottom wall near tub.// Fecal stains on walls behind dresser drawer in room #4. |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests.// Live roaches crawling inside drawer in room #4. |
| 3 | 2.5.1 Complete an initial assessment of a resident within 10 days of admittance to the CLF.// No Assessment were available for residents.//COS |