Facility Evaluation Report

On this day, March 12, 2026, at 2:00 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection and met with staff, Mumcy Coker, and informed the reason for visit. LPA spoke over the phone with Kiptiatu Iscandari, licensee, who stated Mohamed Conte, administrator (ADM) will come to the facility. Licensee gave permission to Mumcy Coker to be with LPA during inspection. ADM arrived at around 2:30 pm.

LPA toured the facility inside out. LPA inspected the living room, dining area, kitchen, bathrooms, residents rooms, front, side and backyard. Food supplies were checked and observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Facility has smoke and carbon monoxide detectors that were observed in operating condition on this day. Hot water temperature in the common bathroom was tested and measured at 111.7 degrees Fahrenheit. Fire extinguisher checked, observed fully charge with tag showed serviced on December 3, 2025.

LPA reviewed 5 staff and 4 residents records. Medications checked, and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders. Residents' P&I checked and compared with last recorded balance.