Facility Evaluation Report

On 12/11/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit.

introduce self, stated the purpose of the visit, and met with Licensee Ganiyu Ajani. LPA toured facility with Licensee. One client was present upon LPA arrival and left on outing during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature was maintained at 24 degrees F and freezer at-1 degrees F. Medications were observed locked in kitchen shelf. MARs were reviewed. Fire extinguisher was observed with a purchased date of: 11/04/2022 . Fire drill last completed: 09/12/23.

All bedrooms were observed to have the required furnishings and with adequate lightening. The bathrooms were properly equipped and operating. Hot water temperature was tested at 106.5 degrees F in bathroom and 120 degrees F in master bathroom. Cleaning supplies and chemicals stored in garage cabinet. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching.

All clients’ files were reviewed to have all the required documents. Sample of Staff files were also reviewed and observed to have all required documents. Carbon monoxide and smoke detectors were tested and observed to be operational.

A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22. Division 6.Exit Interview conducted. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.