Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPA Mora met with Omobola Adeleke (Administrator) and explained the reason for the visit.The facility is licensed to serve 5 ambulatory and 1 non-ambulatory clients in the age range 18 through 59, and non-ambulatory client shall be in bedroom #4. The facility is operating within the scope of its license.

A tour of the single-story facility included the living room, kitchen, dining area, 1 staff bedroom, 4 client bedrooms, 2 client bathrooms, attached garage, front yard, and backyard. LPA Mora conducted the tour with Omobola Adeleke and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Sharps are kept locked under the kitchen sink. Chemical and cleaning solutions are kept locked under the kitchen sink. The First Aid kit is kept locked in the medication cabinet. The First Aid kit was fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed the hallway cabinets. Dining and living room have sufficient lighting and sitting area. Medications are centrally stored in a locked cabinet located in the dining area. Client and staff files will be kept locked in a dining area cabinet. All bedrooms have all required furniture, lighting, and bedding. All bathrooms were observed with shower mats. The water temperature was tested in both bathrooms and measured at 117.1 degrees F and 105.4 degrees F, which is within the required 105-120 degrees F. A fire extinguisher was observed in the kitchen and it is fully charged. Smoke detectors were observed throughout the facility and in each room and were operable during the visit. There is a carbon monoxide in the living room and was operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.

LPA reviewed medication for 5 clients and observed that medications are documented properly and given as prescribed. One of the clients is currently with the husband and took the medication with them. LPA reviewed files for all 6 clients and 5 staff files. (Continued to LIC 809-C)