Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted the required annual inspection. LPA arrived unannounced and met with Administrator Olaide Osibogun who allowed the entry of the facility and assisted with the visit. The purpose for the visit was explained. The facility is licensed for age 18-59. Ambulatory only.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and here are the domains that LPA inspected:

1, Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting the clients. Staff are cleaning and disinfecting each shift for high touched surface area. Facility has sufficient PPE supplies and has an Infection Control Plan.

2. Physical Plant and Environmental: The facility is a single story house and located around the residential neighborhood area. The facility includes: living room, dining area, kitchen, laundry area, three clients bedrooms and two clients bathrooms and a detached garage. LPA inspected the carbon monoxide detectors and its mounted on the hallway wall and its working well. LPA also inspected the smoke detectors and they are located each bedroom and common area and they are interconnected and working probably. LPA tested the hot water temperature in two clients bathrooms and they are tested between 113.3 and 117 degrees F which are within Title 22 regulation. All the sharp knives and utensils are locked in the file cabinet next to the kitchen. All the chemical and cleaning supplies are locked in the hallway cabinet which are inaccessible to clients. The facility has sufficient personal hygiene supplies for client to use. All clients rooms are furnished, clean and sanitize and have required beddings.

3. Operational Requirements: The facility maintained a fire clearance approved by the fire department which four ambulatory client and currently all clients in the facility are ambulatory. The facility also has shaded area with table and chairs for client to utilize for outdoor activity. The last fire/disaster drill were conducted on 3/10/23