Facility Evaluation Report

On 05/01/25 Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with care staff Helen Agbiriogu and Irene Iberi and explained the purpose of the visit. Care staff called the facility designated administrator (FDA) Joyce Diala to informed that CCLD was present in the facility. FDA arrived approximately an hour later. Care staff and administrator assisted with today’s visit. Administrator certificate # is 6035237740 and will expire on 08/05/25. The current census is 5 with 2 facility staff.

The facility is a single-story building licensed to serve six (6) residents. Rooms 1 and 3 are approved for non-ambulatory residents, while room 2 is designated for ambulatory residents only. LPA Lee conducted an inspection of the physical plant, including but not limited to the common areas, kitchen, dining area, resident bedrooms and bathrooms, laundry room, garage and outdoor courtyards, to ensure compliance with Title 22 regulations. The facility was observed to be clean, odor-free, and in good repair. Resident bedrooms were properly furnished with appropriate bedding and adequate lighting. No bodies of water were observed on the premises. During the kitchen tour, LPA Lee observed a sufficient supply of food, including a seven-day supply of non-perishable and a two-day supply of perishable items. The hot water temperature in the resident bathroom sink measured 110.3°F, which falls within the regulatory range of 105°F to 120°F. Grab bars and non-slip mats in the bathrooms were secure and in good condition. Smoke and carbon monoxide detectors were found to be operational and in compliance with fire safety requirements. The facility's fire extinguisher, located in the hallway, was purchased on 10/27/24. Per administrator Diala, the last fire drill was conducted on in April 2025 and that it was not documented. LPA Lee advised that fire drill needs to be conducted every 3 month and should be documented.