Facility Evaluation Report

On August 4, 2026, Licensing Program Analysts Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA initially met with staff on duty, Chisom Iwunze (S1) and stated the purpose of the visit. The licensee was notified and authorized staff on duty to assist with the annual inspection and sign this report. Upon arrival, there were two clients in care with one staff member on duty (S1). Per staff, the other clients were out in the community at this time. The other staff on duty, Divine Nze (S2) arrived at approximately 10am.

Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 4 ambulatory adult residents. Facility does not have clearance for non-ambulatory, bedridden, delayed egress, and locked exterior/interior.

Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident units, resident bathrooms, dining room and outdoor areas.

LPA and S2 inspected 2 of 4 resident bedrooms and 2 of 3 bathrooms. Hot water temperature was measured in 2 of 3 bathrooms. One hallway bathroom was measured at 100 degrees Fahrenheit; per S2, this was reported to the administrator and a repair is on schedule. . A repair person came during this visit to repair the hot water. LPA rechecked the hot water and measured at 105 degrees Fahrenheit. The other hallway bathroom was measured at 108 degrees Fahrenheit

Hallway temperature was maintained at 72 degrees Fahrenheit during this visit. No fire door was observed.

In the kitchen area, LPAs observed at least 7-day nonperishable and 2-day perishable food supplies. Advisory was provided to obtain a thermometer for each of their refrigerator and freezer. Knives/sharps and cleaning solutions were locked. Fire extinguishers observed and last serviced on 5/12/2026. Smoke detectors were observed throughout and at least one carbon monoxide detector was observed. One carbon monoxide detector was tested and found to be working. Medication cabinet was observed to be locked and not accessible to residents.