Facility Evaluation Report

Licensing Program Analyst, Amber Coleman (LPA) arrived at the facility for a Case Management Visit to address lock on gate. During a previous visit, Administrator stated that the gate has equipped with a chain due to a resident breaking the gate leaving staff unable to secure the gate to prevent intruders. LPA introduced self and stated purpose of the visit. Administrator Kingsley Okundaye, granted LPA entry to facility.

Administrator then took LPA to the side gate in question. Administrator explained that the gate was fixed. LPA observed the gate with 2 deadbolt locks vertically situated on the fence. LPA explained that the gate cannot be locked because it may not allow residents and/or staff to leave the premises in the event of an emergency.

An exit interview was conducted where this report, LIC-809D, and appeal rights were discussed and provided to Administrator Kinsley Okundaye via email.