Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:34 AM. LPA met with facility staff who contacted facility backup administrator Toluwalope Adefemiwa via telephone call. Facility backup administrator arrived to the facility at 09:42 AM Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:35 AM, the LPA, along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS : There are four (4) bedrooms in the facility; all are designated for resident use. All four (4) bedrooms are private rooms. LPA and facility staff toured all four (4) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

COMMON AREAS : This includes the living room, dining room, and hallway. LPA observed the living room to be clean and properly furnished at the time of the visit. LPA observed the living room to contain all required postings and a couch for resident use. Smoke detectors and carbon monoxide detectors were tested at 12:08 PM and were functional at the time of the visit. The dining room was observed to be clean and contains adequate seating for resident use. The hallway was observed to contain two (2) properly secured closets. One (1) closet contained extra linens and towels for resident use. One (1) closet contained the facility’s cleaning supplies and pesticides.