Facility Evaluation Report

An announced pre-licensing visit was conducted by Licensing Program Analysts (LPAs) Charlie Yang and Arielle Pascua on 07/21/2022 who were met by the Applicant Augusta Nkwocha and Administrator, Onyema Nkwocha. This facility has a capacity for 4 residents. This facility will accept and retain Level 4I residents that are vendorized through Valley Mountain Regional Center.

A brief interview was conducted with Applicant Augusta Nkwocha.

The fire extinguisher, located in the front hallway, was checked by Jorgensen Fire Company on 07/20/2022. All smoke detectors were present and working at this time.

Four resident bedrooms were toured. Furniture and furnishing were observed to be present and in good condition. An office was toured and was observed to be in good repair.

Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

A linen closet was located in the hallway. LPAs observed a sufficient amount of linens at this time.

A tour of the bathrooms was conducted. Hot water temperatures were taken to ensure that the hot water being dispensed was within the allowed range of 105-120 degrees at all times.

The kitchen area was toured. Facility freezer and refrigerator showed to be functional and in compliance at this time. LPAs observed that there was a sufficient amount of 2-day perishable and 7-day nonperishable food supplies available at this time.

Garage area was toured. LPAs observed a refrigerator which will store additional food supplies. Additional storage for supplies were stored in cabinets.

This facility will be using a medication cabinet which was located in the living room. LPAs observed the medication cabinet to be locked and made inaccessible at this time.

First aid kit was observed to be present and contained all of the required components at this time.