Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an Annual Required 1 Year inspection and met with Michelle Sheldon (S1), Program Director and Helen Okeigwe, Administrator.

During todays inspection, LPA toured the inside and outside of the facility, with S1 and found the facility clean, at a comfortable temperature with all exits free from obstruction. This facility is a one level facility, licensed for 46 Ambulatory clients. All bedrooms were observed to have the required furniture and facility has a closet full of linens, that are available for clients to use. Extra hygiene products and linens are available. Water temperature in resident's bathrooms is within the required 105 to 120 degrees. Toxins are located in locked closet. Kitchen was well organized, clean and food was observed with covers. Dining area, tables and food counters were observed clean. Perishable and non-perishable foods were sufficient. Facility has emergency food and water available in kitchen storage.

Fire extinguishers located throughout the facility were last inspected January, 5, 2023. The facility has a hard wired sprinkler system and smoke alarm system that is inspected every six months by Pyro Communication Systems. There are Carbon monoxide detectors throughout the facility that are functional. The last disaster drill was conducted and documented 6/12/2023.

Medications were centrally stored and locked and a sample was reviewed. Logs are kept of medication administration and prescription receipt. A sample of facility client and staff files were reviewed and found complete. Administrator certificate for Helen Okeigwe #6003732735 expired July 16, 2023, but was submitted for renewal. Staff have proof of current First/Aid CPR.