Facility Evaluation Report

Licensing Program Analyst (LPA) Tyler Reyes conducted a Plan of Correction visit (POC) to follow up on

the Complaint visit conducted on 09/26/24. The purpose of this visit is to follow-up on the POC that was due

on 09/27/24. Upon arriving at the facility, LPA met with Licensee/Administrator Omobola and explained the

LPA Reyes conducted a complaint visit on 09/26/24 and cited the following deficiencies:

80010(a) - Limitations on Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond

the conditions and limitations specified on the license, including the capacity limitation

During this visit LPA Reyes obtained copies of the staff roster client roster, and face sheets. LPA Reyes

observed (7) of (9) of the same clients observed on 09/26/24. Licensee Omobola confirmed the facility

continues to provide care and supervision to the same (9) clients observed by LPA on 09/26/24. The facility is

licensed for (5) Ambulatory and (1) Non ambulatory clients 18-59 years old. The facility continues to operate

over capacity with (9) clients and not within the approved fire clearance. Licensee Omobola states she had

made (2) attempts to notify local fire department.

At the time of today’s visit, facility is continuing to operate a facility beyond the conditions and limitations

specified on the license. Facility is currently providing care and supervision for (9) clients despite being

Civil penalties were assessed during today’s visit for the period of 09/28/24 – 10/3/24. Total amount noted on

the Civil Penalty (LIC 421) is $700.00 . Signatures on hard copy of LIC 421FC. Civil penalties will continue at

$100.00 per day until deficiency is corrected. Exit interview held and a copy of this report along with appeal\

rights were provided to Licensee Omobola .