Facility Evaluation Report

Licensing Program Analysts (LPAs) Victoria Chitgian and Michelle Echeverria conducted an unannounced visit to the facility for an annual inspection. Facility is an Adult Residential Facility licensed for four (4) ambulatory clients. LPA met with licensee Adesanya Oluwatoyin.

LPAs toured the facility inside and out. The facility has charged fire extinguishers, operating fire alarm systems, and carbon monoxide detectors. Outdoor and indoor passageways were kept free of obstruction. LPAs toured the kitchen. Food was stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. LPAs toured the client bedrooms. The client bedrooms had the required furniture and functional lighting. The facility had a supply of additional linen and extra hygiene items for the clients. The facility had a complete first aid kit available and the last disaster drill was conducted on 2/1/2023. Cleaning supplies, medications, and sharps were kept locked and inaccessible to the clients. Cleaning supplies were stored in the storage and laundry areas. Centrally stored medications were kept in a safe and locked cabinet. Sharps were stored in a secured area. LPAs toured the client bathrooms. LPAs measured the hot water temperature in the bathrooms and kitchen. The hot water temperature measured within required limits at 106 degrees Fahrenheit. LPAs also observed emergency supplies in the garage. The outside of the facility had a shaded area with seating for client comfort. The facility pool is locked by a gate and inaccessible to clients.

LPAs reviewed staff and client files. Staff files had the required documentation including a health screening report and first aid/CPR certification. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. LPAs reviewed medications. Medications were dispensed appropriately according to the physician's orders. Licensee has secured each consumer’s personal property and cash resources. Sufficient staff are employed and present in the facility to meet the needs of the consumers in care.

No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to the licensee Adesanya Oluwatoyin.