Facility Evaluation Report

Licensing Program Analysts (LPAs) Magda Malcore and Renese Howell-Small made an unannounced visit to the facility to conduct a required annual inspection. LPAs identified themselves, met with Administrator Bolaji Akinmulero and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (3). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. Client outdoor activity space is shaded and enclosed with self latching gates. The facility is equipped with smoke/carbon monoxide alarms, laundry equipment, hallway emergency lighting, covered fireplace and telephone service. Client bedrooms were equipped with beds, nightstands, chairs, and lighting. Client bathrooms were operating in safe conditions. The hot water in client bathrooms tested at 107 degrees F. LPAs observed the couch in the dining area was ripped and the upstairs hallway carpet was heavily stained. Deficiency cited. Sharps, disinfectants, cleaning supplies were kept locked and stored away from food supply. The facility has 24 hour/7 days a week care staff.

Food Service: The kitchen and dining area was maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care.

Health Related Services: The facility maintains medications in a locked cabinet. At 1:30 p.m., LPA observed client #1 (C1's) 8 a.m. prescribed medications were still in the bubble pack and not administered to the client. There was not documentation as to why medication was not administered to client. Deficiency cited.