Facility Evaluation Report

On 04/03/2023 at 10:00 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection. LPA observed appropriate Covid-19 postings on the outside wall by the front door. LPA was greeted by staff #1 (S1) and granted access. S1 requested LPA check temperature on temperature reader affixed to the entry wall. S1 recorded temperature and asked LPA to sign in then directed LPA to wash their hands. S2 called the Administrator Moshood Ibrahim using the facility’s telephone and notified Administrator LPA was at the facility. LPA explained the reason for the visit. Administrator met LPA shortly after.

At 10:30 a.m. LPA conducted interviews with three (3) out of three (3) staff and three (3) out of four (4) clients present. The fourth client was not present at the facility. Clients and staff were on their way out to do their weekly grocery shopping. At 11:35 a.m. LPA, S1 and the administrator toured the physical plant of the facility, and the following was observed.

Kitchen/ Dinning area: The kitchen was observed to be clean and clear of clutter. Appliances and fixtures were functioning properly. LPA observed cleaning products kept locked under the kitchen sink. LPA observed knives locked in a bottom cabinet within a locked tool chest. LPA observed a sufficient amount of 2- day perishable and 7-day non-perishable food at the facility; properly stored. LPA observed one fridge in the kitchen with a grocery shopping list on the fridge. S2 stated a second fridge and freezer are in the garage and grocery shopping is done every Monday or as needed at the end of the week. On one of the kitchen's walls LPA observed one (1) out of two (2) fire extinguishers fully charged with a last serviced date of 10/19/2022. Dining area had appropriate table and chairs to sit the capacity of the facility.

At 11:47 a.m. LPA observed Administrator test a dual smoke and carbon monoxide detector. Detector is hardwired and interconnected to other detectors located through out the facility. Detectors were observed to be functioning properly. (Continued on to LIC809-C)