Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley conducted a Case Management - Incident visit to follow up on a self-reported incident which took place on 04/03/2025. At 9:45 a.m. LPA Mosley was greeted by staff and Administrator, Omowunmi Balogun and the reason for the visit was explained. Entrance interview.

On 04/02/2025, it was reported that Resident 1 (R1) made the accusation to the Administrator that there are no staff at nighttime, R1 had an altercation with Staff #1 (S1) where S1 attacked R1 and staff serve the same meal every day. During today's visit, from 9:45 a.m. LPA conducted a physical plant tour to ensure there were no immediate health and safety concerns. On 04/09/2024 from 12:46p.m.- 2:20p.m. LPA conducted a brief physical plant tour, conducted in person interviews with the Administrator, two (2) staff including S1, three (3) residents including R1, a file review and obtained copies of pertinent documents relevant to the incident.

On the accusation that there are no staff at nighttime the LPA conducted interviews with the Administrator, two (2) staff, and three (3) residents including R1. Interviews with the staff revealed that they always have staff at night. They have two (2) live in staff who are readily available. Staff state they regularly have two (2) staff scheduled throughout the day and night. There are always staff available. They have never left the residents alone at night. Interviews with residents revealed that they always have staff at night. They have not been left alone without any staff. Interview with R1 revealed that one morning, day unknown at 5:00 a.m. staff took longer than normal to assist and was upset that the staff took longer than usual. R1 stated that they do have staff at night. R1 stated that S2 is available at night and helps regularly. R1 stated that they were upset with the staff and told the Administrator that no one was here.