Facility Evaluation Report

On 02/09/23 at 3:26 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Elizabeth Ulloa, and explained the purpose of the visit. The Licensee/Administrator Konah Dolo arrived approximately at 3:49 PM. The facility’s fire clearance was approved for 6.

LPA toured facility with Konah including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 5 bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 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 154 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 detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 06/11/2021. First aid kit was observed to be complete.

At 4:30 PM, LPA reviewed 3 residents records. At 4:40 PM, LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility.