Facility Evaluation Report

On 01/23/25 Licensing Program Analyst (LPA) Yolanda Rosser arrived at facility to conduct an unannounced required 1- year visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Rosser conducted a risk assessment. LPA Rosser met with Administrator Franca Okere and staff Tiffany Seymour and explained the purpose of today's visit. LPA verified that the facility has an approved Mitigation Plan Report and a Infection Control Plan. Current census is two (2) Westside Regional Center clients in placement. The facility's annual fees are current.

The facility is a single-story family home located in a residential neighborhood with, a living room, dining area, kitchen, 3 bedrooms, 2 bathrooms, office area, laundry room, detached garage, and an indoor/outdoor activity area. A shaded area with outdoor patio furniture, tables, and chairs. Bedrooms #1-3 are designated as the resident's bedrooms. Bedroom #1 is currently unoccupied. All Bedrooms and bathrooms meet the requirements as established by Title 22. Bedding was clean, mattresses were clean, pillows and extra blankets available. Bathrooms met requirements, grab bars, non- slip mats, hygiene products and extra supplies were stored. Extra supply of towels were stored in closet and cabinets.

Living room had ample seating area, couches, chairs, love seat, which was in good condition. Dining area included a table and chairs for seating. There was a desk and chair for staff with required signs posted. Telephone on desk.

Kitchen contained ample perishable and non-perishable for at least 7 days. Cabinets were stocked full of can goods, rice, beans, spaghetti and other non-perishables. Refrigerator and freezer was fully stocked with meats, vegetables, fruit, juices, water butter, eggs. Kitchen counter was neat and clean free of clutter. Water temperature was measured at 110.9 degrees F. Stove was clean. Cutlery and medication was located in a securely locked cabinet.

Detergents and cleaning products were securely locked and stored in a cabinet in the laundry room. Continued on LIC 809C