Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Geoff Curtis, General Manager, and stated the reason for today's inspection. LPA was informed that Administrator, Blessing (Ugbo) Ogunbor, was not on site currently. Jack Ibifubara, member arrived at 2:00 pm. Also present was care staff, Taneisha Pinnock. LPA observed (4) residents on site. Staff, Sofia Minor, arrived at 3:00 pm. The facility participates in a local program that allows for temporary/respite stays. There is 24/7 awake night staff.

LPA and the General manager toured the interior and exterior of the facility including the common areas, (2) private resident bedrooms, (2) shared resident bedrooms, (2) resident bathrooms, kitchen, laundry and garage.LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels, and a 20-second hand-washing poster. LPA observed 2+day perishable, including fresh produce, and 7+ day non-perishable food. Sharps and toxins are locked in the kitchen and medications are secured nearby. Hot water measured 110*F in a bathroom and inside temperature measured 75*F. Smoke/monoxide alarms are in working order and there are lanterns that convert to flashlights, and vice-versa, on hand. There are sufficient linens/towels/blankets and a complete First Aid kit. Required postings are visible in the common area, including the Emergency Disaster Plan, Resident Personal Rights. There are (2) unlocked exit gates in the backyard and patio seating. There is not a pool.

LPA reviewed (3) resident files. Files were organized, current and complete. Medications were reviewed for (1) resident, orders match medications being administered, and documentation is current.