Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required 1 year annual inspection. LPA met with Administrator (ADM), Nicholas Inneh.

During visit, LPA toured the facility with ADM to include the resident bedrooms, bathroom, shower room, kitchen, hallways, dining room, and exterior. All fire exit routes were free and clear of obstruction. Medications, disinfectants, sharp objects observed locked. Staff present are fingerprint cleared and associated to the facility. The facility has an activity calendar, laundry schedule, shower schedule, and personal rights form posted in the hallway.

Facility temperature maintained at 69 degrees F. Resident bedrooms contains adequate lighting, beds, linens, dressers/closet space, and a night stand. Facility has at least 7 days worth of non-perishables and 2 days worth of perishable foods. The kitchen is equipped with 2 refrigerators which were maintained at 30 degrees F and the 2 freezer temperatures maintained at 0 degrees F. Items inside the refrigerator observed covered. LPA recommended to clean, de-clutter, and organize the kitchen and pantry. LPA did not observe any rodents or insects in the kitchen during visit. Hot water temperature in the bathroom maintained at 111.4 degrees F.

Facility has an operable carbon monoxide and smoke detector. Fire extinguishers last serviced on 04/19/2024. Facility has a sprinkler system. Emergency disaster plans posted next to the exit doors. The facility has emergency flood lights in each hallway in case of a power outage. The last emergency drill was completed on 01/15/2025. Facility has a first aid kit located in the medication room. See LIC809-C.