Facility Evaluation Report

On 11/30/23 at 1:30 pm, Licensing Program Analyst (LPA) Tung Truong arrived announced to conduct a Pre-Licensing Inspection of the facility to ensure compliance with Title 22 regulations. LPA met with Applicant, Nnaemeka Ofodire who assisted LPA in today’s inspection. Nnaemeka Ofodire holds current administrator certificate #: 6054572735 which will expire on 12/5/2023.

It was learned that this facility will be licensed to serve up to 4 ambulatory clients. There were no clients present during today's pre-licensing visit. LPA toured the facility with Nnaemeka Ofodire.

LPA observed the facility common areas were clean and furnished. LPA observed client rooms to have required furniture. The temperature inside the facility was observed to be at 72*F which is within the required range of 68-85*F. Hot water temperature was measured and is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility were up to date and in good repair. LPA observed the centrally stored medications area to be locked and inaccessible to clients. The first aid kit was up to date. LPA observed no obstruction of emergency exits inside or outside of facility.

Based on a review of this facility during this Pre-licensing visit, it was determined that this facility was found to be in compliance at this time. Applicant has completed Component III before and therefore, waive this requirement. LPA will notify the Central Application Bureau (CAB) that the pre-licensing has been completed and passed.

Per the California Code of Regulations Title 22, no deficiencies were observed or cited.

Exit interview held, copy of report given.