Facility Evaluation Report

On 08/14/2024 at 3:15 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Winifred Wepee and explained the purpose of the visit. Winifred phoned Licensee/Administrator, Ogedi Okeigwe and informed. The facility’s fire clearance was approved for capacity six (6) non-ambulatory of which one (1) may be bedridden. Bedridden is granted for Bedroom #6. Hospice waiver for two (2). Administrator Certificate #6041025740 expires 09/01/2024.

LPA toured facility with Winifred including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.

Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/08/2024. Emergency Disaster Plan was last posted on 08/14/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 08/03/2024.