Facility Evaluation Report

On 10/15/2024 at 2:00 PM, Licensing Program Analysts (LPAs) James Sampair and David Doidge arrived unannounced to conduct a Prelicensing inspection. Upon entry into the facility, the LPAs informed Facility Manager Rahanat Abubakar of the purpose of the visit. The Applicant Juvy Golub arrived at approximately 3:10 PM.

The LPAs toured the facility with Ms. Abukar and Ms. Goub. The LPAs inspected the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. No body of water was on the facility grounds. Medications are centrally stored. Personnel, client, and facility records were stored at the facility and made accessible to the LPAs. Bathrooms and showers were observed to be fully functioning and clean. Carbon monoxide and smoke detectors operational and the fire extinguishers were last serviced on 08/26/2024.

The fire clearance is for 6 ambulatory. However, the 5 consumers are non-ambulatory, as will be the future consumers. For that reason, the facility did not pass the pre-licensing inspection.

Exit interview conducted and a copy of this report provided to the applicant.