Facility Evaluation Report

On 9/18/2025, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to correct a report that had been mistakenly entered for a different facility. During a previous unannounced visit to this facility on 8/19/2025, the report had been submitted under Facility #032701225, which has a similar name. LPA met with the facility supervisor, Renae Earl (S2), and clarified the purpose of the visit.

*** The report below was incorrectly entered to a different facility ***

Licensing Program Analyst (LPA) Arvin Villanueva arrived at the facility unannounced to follow up on a death of a resident in care. LPA met with staff on duty, Lacreisha Wilson (S1) and explained the reason for the visit. The Licensee, Chukwudi (Patrick) Ikiseh, was notified and gave permission to S1 to sign this report.

Initial observation: Upon arrival, LPA observed (S1) leaving the facility to go to another facility, about two houses away. LPA rang the door bell 3 times before a visitor (V1) answered the door. V1 stated they cannot let LPA come in and stated that the staff on duty had stepped outside for phone call. After 2 to 3 minutes later, S1 arrived back to the facility and LPA was able to enter. LPA observed 4 residents in the living room with V1 visiting a family member. Per interview with S1, S1 was instructed by their supervisor (S2) to go to the other facility down the street to open a door for the delivery person. S1 confirmed that the visitor is not a staff and that no other staff is on duty during this visit. LPA spoke with Licensee, Chukwudi (Patrick) Ikiseh, to inform him of the lack of staff upon arrival. Per Licensee, he was observing the residents through the camera in the living room.