Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Ramirez conducted an unannounced Annual Inspection visit on 06/01/2024. LPA Ramirez were met by Caregiver MUHAMMAD KAYIZI and explained the purpose of the visit. Administrator Tayebwa, arrived shortly after to assist with tour. This facility is licensed as an Adult Residential Facility and is serviced by North Los Angeles Regional Center. This facility is a level 4 home. The facility is licensed to serve FOUR ( 4 ) developmentally disabled clients ages 18 and above; of which all must be ambulatory. During today’s visit, LPA Ramirez observed three (3) caregivers providing direct care and supervision to clients.

LPA OBSERVATIONS: The facility is a single-story home that contains four (4) bedrooms, two (2) client bathrooms, living room, kitchen, dining room, laundry room, backyard, and attached garage.

Front Yard: LPA Ramirez observed front yard to be free of hazards and well maintained.

Kitchen: LPA Ramirez observed appliances to be clean and in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located kitchen cabinet, to be inaccessible to four (4) out of four (4) clients in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants to be inaccessible to four (4) out of four (4) clients in care. Signs promoting hand washing were observed in this area.

Dining Room/Living room: Dining room was observed to contain one table with several chairs. The living room was observed to contain plenty of lighting. LPA Ramirez observed a fully charged fire extinguisher nearby.