Facility Evaluation Report

Licensing Program Analyst (LPA)s E Mallett and S Vaid conducted the annual inspection. LPA arrived and met with Staff, Nathaniel Olatunbosun, who allowed entry to the facility. The purpose of the visit was explained. Administrator, Adedolapo Olusoji, arrived later to assist with the visit. Clients are vendorized through San Gabriel Pomona Regional Center.

LPA utilized Compliance and Regulatory Enforcement (CARE) tools to inspect the home.

Infection Control: Staff are cleaning and disinfecting high touched surfaces daily. They are using appropriate hand hygiene and wearing gloves when necessary to assist clients. The facility has submitted the Infection Control Plan.

Physical Plant & Environment Safety: The facility consists of 4 client bedrooms, staff office, 2 bathrooms, living room, kitchen, laundry area, and a garage. Knives and cleaning solutions are locked and inaccessible to clients. There are no firearms or weapons stored at the facility. Hot water was measured within the required range of 105 - 120 degrees F. The facility does not have a swimming pool. There is a carbon monoxide detector and smoke detectors observed. C2 screen door observed to be broken. C2 room walls are soiled. Cited two (2).

Operational Requirements: Fire clearance is approved for (4) ambulatory clients. Staff are adhering to operational requirements as there are 4 ambulatory clients residing at the home.

Food Service : There are sufficient food supplies of 2-day perishable and a week of non-perishable items. The foods are properly stored in the refrigerator. Plates, cups and utensils are kept clean.

Health Related Services : The medications are centrally stored and locked in the file cabinet. LPA reviewed medications for all 4 clients, and they are being administered as prescribed by the Physician and properly documented. C2 medication was marked as administered for PM, medication has not yet been administered. Cited one (1).

Staffing: There is sufficient staffing at the facility. The administrator's (Adedolapo Olusoji) certificate expires on 12/22/2026. The HIV and TB Training certificate was completed. Staff employed are fingerprinted and associated with the facility.