Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met with Staff#1 (staff in charge), who assisted with today's visit. LPA spoke with Administrator, Bolaji Akinmulero, over the phone. Today's visit was discussed. The facility is licensed to serve six (6) developmentally disabled clients, ambulatory only, ages 18-59. Annual fees are current.

Today's visit applied CARE tool, conducted physical plant, reviewed staff's files/clients' files/medication, interviewed staff/clients, and checked food supply.

The facility was a single story home, consists of four (4) bedrooms, two (2) bathrooms, kitchen with a dinning area, living room, laundry room and office in the garage. Facility maintains the required two (2) days perishable and seven (7) days non- perishable. Clients’ bedrooms were in compliance. Adequate linen and personal hygiene supply were observed. Smoke detectors and carbon monoxide detectors were operable. Hot water temperature was measured at 105.7 degree F. Medications were properly logged and current. Fire extinguisher is fully charged. The front yard is well maintained. Fire drill was conducted on 10/23/24.

Deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6.

An exit interview was conducted. This report was discussed with staff #1. Report was provided to staff #1, whose signature on this form confirm receipt of these documents. Appeal right was provided.