Facility Evaluation Report

Unannounced Annual visit made out to this facility on 07/02/2026 by Licensing Program Analysts (LPAs) Charlie Yang and Kimberly Kulich who were met by the facility live-in caregiver, Alice Teye, at this time. A brief interview was conducted with the facility live-in caregiver at this time. This LPA requested that she go ahead and contact the facility designated Administrator, Doris Anyanwu, to inform her that CCL was present at this time. The facility designated Administrator arrived later to this facility.

It was learned that this facility was vendorized to be able to accept and retain up to (6) Level 6 residents at any given time. This facility was licensed to serve up to (6) Ambulatory only residents at any given time. Current census was 5 residents, of which all of them, were out of the facility at their respectable day programs at this time.

A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time.

Cleaning agents, bleach, and other supplies which were stored in a closet and were observed to be locked and made inaccessible to the residents at this time.

A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times.

Medication cabinet, located in the facility kitchen cabinet, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility caregiver at this time. A review of the facility Medication Administration Record and dispensing log was conducted.