Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with Staff and explained the reason for the visit. Administrator Isaac Adeleke arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The facility is vendored by Tri-Counties Regional Center (TCRC) as a level 4-i home. All clients were not onsite during the visit.

LPA inspected the kitchen/food service area at approx. Knives and sharp objects are stored in a locked cabinet to the left of the sink. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time in the kitchen at this time.

There is an attached garage observed inaccessible to clients in care. LPA observed garage to have an additional fridge to store extra perishable food. LPA also observed laundry area, along with additional furniture and medical equipment for facility use. There is also a storage space, LPA observed, facility files, emergency food, Emergency supplies , water and other equipment for facility use at this time. Cleaning supplies were observed inaccessible in a cabinet in the garage. The backyard has a covered outdoor area equipped with outdoor furniture . The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There is a shed located in the rear of the facility. LPA observed it to store gardening supplies, cleaning supplies and other items for facility use stored inaccessible to residents in care. There were no bodies of water on the premises.

At the time of the visit, the common area furniture's were observed to be in good condition. LPA observed linen and toiletries stored inaccessible in hallway closet. LPA observed various, books, board games and activities on a shelf.