Facility Evaluation Report

On 1/26/2023 at 9:50 a.m., Licensing Program Analyst (LPA) Jewel Baptiste made an announced visit and met with Administrator Olaide Osibogun to conduct a pre-Licensing evaluation. The facility will not have clients immediately due to application process to receive regional center clients. LPA explained to administrator, once the facility is licensed the home will have to operate under title 22 regulations while waiting on regional center clients.

An application was submitted to Community Care Licensing Department (CCLD) for an initial application of an Adult Residential Facility Community Placement Plan (CPP) home to serve adults ages 18-59 years, level 4n. The requested capacity is for four (4) ambulatory developmentally disabled clients. Structure: Facility is a single-story home consisting of four (4) bedrooms, two (2) restrooms, kitchen, dining room, living room, garage. The front yard has a grass lawn. The backyard has shaded patio area. Bedroom Clients: All bedrooms are private. Bedrooms are equipped with one bed, nightstand, chair, lamp, and lightning. Bathrooms: Have a working toilet, wash basin, and bathtub. Linens & Hygiene Supplies: All beds had the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linens is stored in the hall closet. Emergency Phone Numbers, Exit Plan: Emergency numbers are posted and readily available for review. Two (2) fully charged fire extinguisher is in place. Facility has a land line telephone. Food Service: Dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery, and other sharp kitchen utensils were observed locked and inaccessible. Adequate food supply is stored in the kitchen and consists of the following: 2-day perishables, and 7-day non-perishables.