Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Administrator Nkechi Anwuli who was informed of the purpose of the visit. Administrator Anwuli informed LPA that three (3) clients were attending day program; one (1) client was present at the facility. The facility has a fire clearance for six (6) ambulatory clients and serves adults ages 18 through 59.

LPA toured the facility and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with four (4) client bedrooms, two (2) bathrooms, a living room, dining room and a garage. . All client bedrooms had the required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the clients. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. The garage has an extra refrigerator with non- perishable foods. LPA observed knives and sharp instruments secured in locked kitchen cabinets. Cleaning solutions and disinfectants are secured in a lock cabinet in the garage. Administrator Anwuli tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed two (2) charged fire extinguishers mounted throughout the facility dated 09/18/24. Medications are secured in a locked cabinet stored in the living room. LPA reviewed the Medication Administration Record along with the physical medications for two (2) clients and did not discover any discrepancies. LPA reviewed random client files and observed clients had updated Individual Program Plans and signed admission agreements.