Facility Evaluation Report

06/24/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently four clients in care. Upon arrival, one client was present at facility. Facility has a fire clearance approved for 6 ambulatory. LPA was greeted by staff. Administrator, Ivan Kamwesigye arrived shortly after.

LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. Facility has appropriate postings in common area. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner. All rooms were furnished and in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to clients in care were measured within the range of 105 to 120 degrees F. Fire extinguishers were last inspected March 2026. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Chemicals were found to be secured under the kitchen sink. Sharps were found to be secured in kitchen drawer. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Facilities last emergency drill was conducted on 05/15/2026. LPA observed a staff room built inside the garage. Facility sketch dated 01/13/2025 does not indicate that there is a staff room inside the garage. (Deficiency Cited) **Civil Penalty in the amount of $500 is being assessed**

LPA conducted a review of four client records. All records had the required documentation. LPA conducted review of four staff records/training. Upon a review of staff records, LPA found all staff to have required training as well as current 1st Aid & CPR certification on file. However, LPA observed three out of four staff to having missing health screening reports. (Deficiency Cited)