Facility Evaluation Report

Licensing Program Analyst (LPAs) Stevenson and Alviso conducted a Required- 1 Year inspection, on 03/04/2025 at approximately 8:50 am, and met with Administrator Emma Mutunga. The facility currently has four clients in care.

LPAs reviewed three (3) staff files. All staff have criminal record clearance as required. All staff had current First Aid and CPR as required. All staff had required annual training completed.

Per LPA’s record reviews and observation 3 of 4 clients need a signed Emergency Consent Form and 2 of 4 clients need a Appraisal and Service Needs plan signed. Administrator was asked to appraise and determine the needs and services of her clients.

Facility has a required infection control plan. Facility has a required emergency and disaster plan.

At approximately 10:00am LPsA toured the facility with the Administrator. The home was clean and orderly. Hot water was checked at 118.4F and 119.7F degrees. All exits were clear. The fire extinguisher were found to be fully charged. Facility has two carbon monoxide detectors- they were working properly during the inspection. All smoke alarms and carbon monoxide were working during the inspection. All common areas, hallways, bathrooms, and resident rooms had sufficient lighting for resident use.