Facility Evaluation Report

On 9/8/2023 Licensing Program Manager (LPM) Ulysses Coronel & Licensing Program Analyst (LPA) Socorro Leandro conducted an announced pre-licensing evaluation. Today’s pre-licensing evaluation was conducted with applicant Ikemefuna E. Okafor, administrator.

On 3/21/2023 an application was submitted to Community Care Licensing Division (CCLD), for Initial license for an Adult Residential Facility to serve adults age range 18 through 59. The requested capacity is for 4 clients of which 2 may be non-ambulatory clients and 2 may be ambulatory clients. The facility consists of 4 client bedrooms, 1 bathroom, 1 laundry room, 1 kitchen, and 1 living/dinning room are.

LPM & LPA conducted a review of the Physical Plant, Bedrooms, Bathroom, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation.

Facility is clean, sanitary, and in good repair. Indoor and outdoor passageways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. Ramps, open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings.

Halls, storage areas, are not being used as client bedrooms. Client bedrooms are large enough to allow for easy passage and to accommodate furniture and assistive devices such as wheelchairs, walkers, or oxygen equipment.