Facility Evaluation Report

On 6/24/2025, at 9:20am Regional Manager Stephenie Doub (RM) and Licensing Program Analyst Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their required annual inspection visit. RM and LPA initially met with the staff on duty Licreisha Wilson (S1) and stated the purpose of this visit. The facility supervisor Renae Earl (S2) was notified and arrived shortly after. The Licensee Chukwudi (Patrick) Ikiseh was notified of the visit.

Present during this visit were 4 residents in care with one staff on duty.

Upon arrival, LPA observed 1 resident in the living room sitting on the sofa watching TV. One resident was at the dining table finishing their meal. Two other residents were in their bedrooms.

RM and LPA evaluated the physical plant with S2 to ensure the health and safety of the residents in care. The facility is a one-story home located in a residential neighborhood. Areas inspected including but not limited to the kitchen, 5 resident bedrooms, 2 resident bathrooms, living and dining room and outdoor areas. LPA observed the inside of the facility to be clear of obstructions at this time. LPA inspected 5 of 5 resident bedrooms. Bedroom #4 in the facility sketch was observed to be unoccupied and per interview with S2, staff utilize this during the night. In bedroom #1, located by the kitchen area, RM and LPA observed a resident dresser and commode blocking the exit door to the outside. LPA measured the hot water temperature in 1 resident bathroom located in the hallway and was at 104 degrees Fahrenheit. Room temperature was observed at 77 degrees Fahrenheit. LPA observed sufficient seven day non-perishable and two day perishable food supplies. The fire door leading to the hallway where the resident bedrooms are located was observed to be propped open with a door stopper and it was observed to be in disrepair as evidenced by the door closer detached from the wall (photo was taken).