Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced Required 1 Year inspection visit. LPA met with Administrator, Cyril Inneh.

LPA toured the entire residential facility inside and out. The residential care facility has 3 levels. While touring the facility from top to bottom, LPA observed several areas throughout the facility where dry wall was missing and damaged. LPA observed the third floor bedroom on the left, had a closet door that was damaged. The damaged door was missing the bottom right side. ADM stated that door has been damaged since the beginning of the year. LPA also observed broken dry wall in the second floor bedroom, located on the bathrooms left side. LPA also inspected the facility's bathrooms. LPA observed damage in the bathrooms flooring and grout in the second and first floor bathrooms. While touring the laundry area, which is directly next to the first floor bathroom, LPA observed damaged/ missing dry wall in the ceiling of the laundry area. (LPA also observed an unattended laundry detergent in the laundry area.) ADM stated the damaged areas was due to a leak. ADM stated he is currently working with contractor to address problem areas and is scheduled to have them addressed by the middle of August. ADM stated he will send contact to LPA by August 2, 2023 Note; deficiency was not cited for physical plant due to similar issue being brought up in complaint.

LPA also toured the Common area, dining and kitchen area were observed . Two day supply of perishable and 7 day supply of non-perishable food were observed to be sufficient. Facility bathroom sinks wear measured and ranged from 116-118 degrees F. Smoke and carbon monoxide detectors, fire alarm system(last tested on (06/22/23), and 3 fire extinguishers were observed in the residential facility (last inspection 04/06/2023) . Outside area is free of obstruction. LPA asked ADM to provide the last Fire drill/Earthquake drill. ADM stated they conducted the drills but do not have a log.