Facility Evaluation Report

On 5/16/2025, at 8:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Caregiver Winifred "Willy" Wepee. Administrator Ogedi Okeigwe was informed of the inspection by phone.

The LPA toured the interior and exterior of the facility, inspecting the kitchen, food and emergency supply storage areas, dining area, shared restrooms, community living spaces, client rooms, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored.

The maximum hot water temperature was 112 degrees Fahrenheit and the temperature in the common area was 72 degrees Fahrenheit. The carbon monoxide and smoke detectors were fully operational. The fire extinguishers were last serviced on 1/9/2025. The LPA observed postings in the facility that included a complaint poster, Ombudsman, and Personal Rights posters. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations.

The LPA reviewed the facility records, records of 5 staff members, and the records of 5 residents.

1 Type-B citation was issued during the inspection (refer to LIC 809-D for details).

Exit interview conducted and a copy of this report provided.