Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA met with Okey Offor, DSP I & II and explained the purpose of the visit. Another staff, Wisdom Gronah, DSP II arrived shortly after. At 11:24am, Orunesajo "Victor" Akinwale, President/Acting Administrator arrived and assisted LPA with the inspection. The facility is licensed to care for (4) Developmentally Disabled Adults, ages 18 through 59, ambulatory only. All clients residing at this facility receive case management services provided by San Gabriel Pomona Regional Center. LPA utilized the full Care Compliance and Regulatory Enforcement (CARE) Tools and observed the following:

Infection Control: The facility has submitted the Infection Control Plan. Staff are adhering to infection control requirements.

Operational Requirements: The Infection Control Plan was submitted to CCL. Surety Bond is in effect with bond amount of $2000. Fire/Disaster Drill was last conducted on 05/20/2025.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood, contains (3) client bedrooms, (1) office/storage room, (2) full bathrooms, living room with covered fireplace, kitchen, dining area, backyard, and attached garage. Currently, there are (4) clients living in the facility. The interior and exterior physical plant was inspected. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, night stand, light, chair and sufficient closet space. Bathrooms have non-skid materials and contained hygiene supplies including liquid soap, paper towels, and toilet paper. LPA observed that the lower part of the wall next to the shower and the shower floor in bathroom #1 are broken/chipping. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and has a shaded area. Attached garage was inspected and there are (2) extra refrigerators and (1) freezer to stock up additional food items. Kitchen knives, sharps objects, are kept locked in a locked cabinet in the dining area. The cleaning supplies and toxic substances are stored in the garage and inaccessible to clients. There is (1) fire extinguisher was purchased in 2023. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. Water temperature readings were 108.8 deg in bathroom #1 and 109.7 deg F in bathroom #2 which are within the required 105-120 degrees Fahrenheit. *****CONTINUED ON LIC809-C*****