Facility Evaluation Report

On 07/19/2023 Licensing Program Analysts (LPAs) L. Alexander and L. Hall conducted an unannounced Case Management visit due to administrator's absence. LPAs met with Caregiver, Stella Mushi, and explained the purpose of the visit.

Upon arrival LPAs were informed that the Administrator, Goodluck Ndefungo was out of the country.

LPAs reviewed all 4 clients files and all files were incomplete. LPAs requested P & I. Staff 1 (S1) was not able to provide P & I. S1 stated owner has P & I for clients. LPAs reviewed safeguarded cash resource documents and the only document that was current was for Client 4 (C4).

The following deficiencies were observed:

At 1:25pm, LPAs observed facility's administrator has not been present for months.

At 1:45pm, LPAs observed all four (4) clients' files were incomplete.