Facility Evaluation Report

On 10/01/2025 at approximately 9:00 AM, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced Required – 1 Year Inspection and met with Administrator Ikemefuna E. Okafor. The facility is licensed to serve four (4) adults, ages 18 to 59, of whom two (2) may be non-ambulatory. All rooms are cleared for non-ambulatory use. At the time of the visit, three (3) clients were residing in the facility.

The facility is a one-story home located on a residential street. It consists of four (4) client bedrooms, one (1) full bathroom, a living room, kitchen, laundry room, an attached garage with an office area, and a backyard patio with shaded seating. While touring the kitchen cleaning supplies were observed to be stored in the same locked cabinet as kitchen knives. Although the cabinet was locked, the key was left in the lock, which could potentially allow access. Technical assistance was provided, and a plan for future compliance was discussed with the Administrator. The key was removed immediately upon being addressed, and all items remained inaccessible to clients in care. There was enough perishable and nonperishable food observed. During the visit, medications were observed to be stored in a designated cabinet; however, one door to the cabinet was found to be unlocked. Medications remained inaccessible to clients in care, and all medications observed were labeled and maintained in compliance with label instructions. The issue was immediately corrected when addressed. Technical assistance was provided, and a plan for future compliance was discussed with the Administrator. Medication Administration Records (MARs) were reviewed and found to be current and up to date.

Please see LIC809-C for report continuation.