Facility Evaluation Report

On June 6th at 9:35am LPA's Jennifer Fain and Maja Jensen arrived at the facility announced to conduct a pre licensing visit. LPAs met with Licensee Uzodinma Ofodire and explained the reason for the visit.

LPAs Fain and Jensen toured the grounds and physical plant. The grounds were observed to be clear of debris and all paths were unobstructed. LPA Fain observed patio furniture with shaded areas for residents to enjoy outdoor activities. The physical plant has 4 resident bedrooms. The interior of the facility was observed to be sanitary, adequately furnished and adequately lit. The facility maintains an adequate supply of linens and hygiene products. The bedrooms contained a night stand, lamp, dresser and chair. The mattresses were observed to have mattress covers. The facility has a locked storage area for medications, toxins and knives. All appliances appeared to be in good working order. The first aid kit is complete with scissors, tweezers, thermometer, manual and various wound dressings. The Emergency Disaster plan was reviewed and determined to be in compliance. The fire extinguishers were serviced January 31, 2023 and are in compliance. The carbon monoxide detectors and smoke detectors were determined to be in good working order. The Pre-Licensing Inspection Tool was utilized during the course of this visit.

The facility was determined to be in substantial compliance with the Health and Safety Code and the California Code of Regulations. The facility has passed the pre-licensing inspection. Component III was conducted.

An exit interview was conducted and a copy of this report was provided to Licensee