Facility Evaluation Report

Licensing Program Analyst (LPA) Stephanie Williams made an announced visit to the facility in order to conduct a pre-licensing inspection due to facility's change of ownership. LPA identified herself to Administrator, Oluwakemi Alofe, who was prompted of the purpose of the visit and who accompanied LPA during the inspection.

The pending application is for an Adult Residential Facility. The facility has been granted a fire clearance for a total capacity of four ambulatory clients by the City of Moreno Valley Fire Department on 07/29/2021. The facility has a total of four client bedrooms, two and a half bathrooms, a kitchen/dining area, a living room, family room, laundry room, backyard, and attached garage. LPA toured the interior and exterior areas of the facility. The following was inspected:

LPA inspected client bedrooms; the bedrooms have the required bedding and furniture, such as, clean mattresses/linen, sufficient storage space, chairs, and lighting. LPA inspected resident bathrooms; the bathroom appliances were operating in safe and sanitary conditions and contained appropriate hygiene items for clients. LPA inspected the kitchen; knives, cleaning supplies, and toxins were inaccessible to residents and stored away from food supply. Dishes, glasses, and utensils were in good condition and stored in a safe manner. The kitchen countertops and appliances were free from debris. There was also a sufficient food supply and posted meal menu. LPA inspected the common areas; LPA observed a charged fire extinguisher, operating smoke detectors, and carbon monoxide alarms at the time of visit. LPA observed required postings including complaint procedures, residents personal rights, and the facility's emergency/disaster plan. The facility was equipped with a complete first aid kit. There was a locked and centralized storage area for medications. The facility had a designated area for client files and staff files. The facility had a working telephone for resident use. There was adequate seating in the common areas. LPA inspected the outdoor space; there are no bodies of water on the property and there was a shaded area for residents. LPA observed that side gates were unlocked and kept free of obstruction.