Routine inspection·February 4, 2022

Licensing Program Analyst (LPA) Anthony Tuck arrived to conduct an unannounced annual inspection on 02/04/2022. LPA met with staff Drusilla Uwoghiren and explained the purpose of the visit. Drusilla Uwoghiren is the Administrator and holds certificate #6044309740 that expires on 05/07/2023. This facility is a single story building licensed to serve six (6) ambulatory residents of which 2 may be bedridden and a hospice waiver for 2. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at (116.8) degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguisher last serviced 02/17/2021. Thermostat observed at (72) degrees Fahrenheit. LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed resident and staff roster, and staff associations to the facility. First aid kit was checked and is complete. LPA learned that the facility is in process of starting 2 staff and waiting for finger print transfer request to be processed. The following forms documents were received during today's visit on 02/04/2022: LIC 500, LIC 9020, LIC 610, copy of administrator certificate. No deficiencies were found during today's inspection. Exit interview held with Drusilla Uwoghiren and a copy of report given at the conclusion of the visit.