Facility Evaluation Report

Licensing Program Analyst(LPA) Nicol Wesley conducted a pre-licensing inspection and met with Administrator Ademola Salau. The facility will be licensed as an Adult Residential facility to serve 4 ambulatory consumers of with two can be non ambulatory within the age of 18-59 years. There are currently 4 consumers in care. The facility phone number is 562 529 2524.

LPA toured the facility and observed the following: Front yard, Garage, Dining area, Living room, 4 bedrooms, 2 bathrooms, office are, Kitchen, laundry room with locked cabinets, back yard and detached garage. Hot water was tested and the temperature measured at 118.4 degrees F. Medications, medication records with manual will be centrally stored in a locked kitchen cabinet. Toxins, detergents, and sharps, are stored in a locked cabinet underneath the kitchen sink and in the locked storage room. Linen, towels, resident's personal kits, and PPE supplies, were observed in the cabinets in hallway #1. The P&I funds are located in a locked file drawer in the office area. The smoke detectors/carbon monoxide detectors were tested and are operable. The alarm system is hardwired, 2 fully charged fire extinguishers(1 in kitchen, 1 in hallway). LPA observed an adequate supply of perishable and non perishable food items.

Component III Orientation with Applicant designee is waived as the applicant designee has completed it in the past. LPA observed all the required postings as mandated including infection control/PPE station. Administrator Certificate Ademola Salau #6032345735 expires on 07/28/2022.