Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct the annual inspection visit. LPA spoke with administrator/licensee Abideene Mustapha, and explained the purpose of the visit. There are no clients in the current census.

Client records, client interviews, Staff records and interviews review were not conducted as part of this visit.

Physical plant inspection was conducted, including but not limited to the kitchen, common areas, resident bedrooms, resident bathrooms, and evacuation routes, and exteriors. The facility is clean and traffic areas are well lit and unobstructed. The required furniture and furnishings were present and in good repair. Required posters were in place. Nightlights, Smoke alarms and CO detectors are functional.

First aid kit had required items, fire extinguisher was dated 3/26, water temperature was measured within 105-120*F and air temperature was comfortable. The sharps and toxins were locked away, medications will be stored in a locked cabinet. Two days of perishable and seven days of nonperishable food were present.

Per title 22 regulation no citations were issued as a result of this visit.

An exit interview was conducted and a copy of the report was left with the Administrator.