Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA was met by Kadri Egbeyemi, Administrator and Kimberly Egbeyemi, Co-Administrator and explained the purpose of the visit. The facility is licensed to care for six (6) Developmentally Disabled Adults, ages 18 through 59, ambulatory only. All clients residing at this facility receive case management services provided by Frank D. Lanterman Regional Center. LPA utilized the full Care Compliance and Regulatory Enforcement (CARE) Tools and observed the following:

Infection Control: The facility has submitted the Infection Control Plan. Staff are adhering to infection control requirements.

Operational Requirements: The Infection Control Plan was submitted to CCL. Surety Bond is in effect with bond amount of $2000 and expires on 08/24/2024. Fire/Disaster Drill was last conducted on 03/07/2025.

Physical Plant/Environment Safety: The facility is a single storey home located in a residential neighborhood, contains three (3) client bedrooms, two (2) full bathrooms, living room, kitchen, dining area, backyard, and attached garage. Currently, there are six (6) clients living in the facility. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, night stand, light, chair and sufficient closet space. Bathrooms have non-skid materials and contained hygiene supplies including liquid soap, paper towels, and toilet paper. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and LPA observed (2) large dogs outside . LPA did not observe outside furniture in the backyard but shaded area is provided in the front yard . Attached garage was inspected and there is an extra refrigerator/freezer to stock up additional food items. LPA observed a couch and tv in the attached which is being used as resting area for staff as per the Co-Administrator. Kitchen knives, sharps objects, are kept locked in a locked cabinet in the kitchen/dining area. The cleaning supplies and toxic substances are stored in a cabinet under the sink which is also kept locked and inaccessible to clients. There are (3) fire extinguishers on the side table in the dining area but Administrator cannot provide proof of recent service date or purchase. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. Water temperature readings were within the required 105-120 degrees Fahrenheit. *****CONTINUED ON LIC809-C*****