Facility Evaluation Report

On 07/15/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct an annual visit. LPA Pascua was greeted by Staff Member (SM), Isabel Jimenez and explained the purpose of the visit. Shortly after, LPA met with Licensee, August Nkwocha and Facility Designated Administrator (FDA), Oynema Nkowcha and explained the purpose of the visit.

Current census was 4. 1 out 4 residents were out of the facility at this time.

This facility is licensed to serve 4 residents, of which all my be non-ambulatory. This facility is also vendorized by Valley Mountain Regional Center to serve and retain Level 6 residents at this time.

LPA Pascua reviewed 4 resident files. 4 out 4 resident files were complete and up to date. FDA does not have an active administrator certificate, however, the LPA was able to verify that the administrator has sent in his renewal application prior to the expiration of their administrator certificate. However, the licensee does have an active administrator certificate # 7018071735 and expires on 10/102025.

Fire extinguisher located in the kitchen appeared to have been annually inspected on 03/17/2025 by the local fire company, Fire Code.

The kitchen area was toured. LPA Pascua observed a sufficient seven days of non-perishable as well as two days worth of perishable food supplies in the main kitchen. Additional perishable supplies were identified in an additional freezer located in the garage. Knives and additional cleaning supplies were locked and made inaccessible to the residents at this time.

LPA Pascua observed a locked centralized stored medication cabinet located in the living room. Along with Facility Designated Administrator, the LPA observed, reviewed, and compared resident medication with the medication dispensing logs. First Aid Kit was present and contained all of the required components.