Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 03/26/2024. Upon arrival, there were four (4) staff and one (1) client present. LPA met with staff and and the reason for the visit was explained. Staff contacted the Administrator, Fatuma Nassanga telephonically and LPA informed them of the purpose of today's visit. The Administrator arrived during the inspection. Entrance interview.

During today’s visit, at 9:17 a.m., the LPA along with staff toured the physical plant areas to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations and conducted a medication review. The following was noted:

The LPA observed two (2) client restrooms, which were clean and sanitary and in operating condition with non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The LPA observed four (4) client bedrooms, which were furnished appropriately and had sufficient lighting. The LPA inspected the kitchen area at 9:25 a.m. The facility has a sufficient supply of perishable and non-perishable food. LPA observed fire extinguisher was fully charged on 04/18/2024. No bodies of water noted at the time of the visit. All indoor and outdoor passageways were free from obstructions in case of an emergency.