Facility Evaluation Report

Licensing Program Analyst (LPA) V. Maldonado made an unannounced visit to the facility for the purpose of conducting the required annual inspection, using the Infection Control tool to evaluate the facility. LPA Maldonado met with Direct Care Professional (DSP) Ema Eguaoje and explained the purpose for the visit. Ema called the administrator Akinwale Victor Orunesajo to notify of the visit. LPA conducted a tour of the physical plant with DSP, observed the food supplies, COVID-19 procedures, and reviewed client and staff files, and client's medications. The facility has an approved mitigation plan on file. Akinwale arrived shortly after to assist with the visit.

The facility is a one-story home located in a residential area. It is licensed to serve (4) developmentally disabled clients, ages 18-59, ambulatory only. The home consists of a living room, kitchen, dining room, (4) bedrooms, (2) bathrooms, an office, a shaded patio in the backyard with seating, and an attached garage. LPA observed all client bedrooms to have the required furniture, bedding, linens, sufficient lighting, closet space, and additional storage space. (2) bathrooms were observed to have a shower, toilet, and wash basin. The water temperature was tested and measured between 119*F-112*F, which is in compliance. The food supplies was observed to be the required 2-day perishables and 7-day non-perishables. A fire extinguisher was observed on the kitchen to have a current inspection and was fully charged. The first aid kit was inspected and had the required items, as well as a current first aid manual. All sharps and cleaning supplies were locked and inaccessible in the garage, and in a hallway closet. Additional linens were in a separate hallway closet. The smoke/carbon monoxide detectors were tested, were interconnected and operational at the time of the visit.

LPA observed a 30-day supplies of Personal Protective Equipment (PPE) stored in the garage. Additional PPE was observed at the entrance of the facility- the central entry point for screening clients, staff, and visitors.