Pre-licensing visit·April 21, 2025

On 4/21/25 at 9:30 am, Licensing Program Analyst (LPA) Noel Wolf Petersen and Licensing Program Manager(LPM) Liza King arrived announced to perform a pre licensing inspection, and met with administrator/licensee Ebony Aliriagwu and explained the purpose of the visit. LPA requested and reviewed several documents and needs more submitted in a more complete fashion before we continue, including but not limited to all required posters, the plan of operation, the admission agreement, the LIC 308, the evacuation plan, the infection control plan. They should be printed out and available for licensing to audit. LPA inspected the Physical Plant, including but not limited to the common areas, resident bedrooms, resident bathrooms, and the outdoor area, and had concerns of incomplete preparedness including but not limited to: the storage of the fire extinguishers being locked and inaccessible, the posters not being up, the rubber mats not being in the showers, the bathroom trashcans with lids missing, the nightlights in the halls/bathrooms missing. Grab bars for the non ambulatory bathroom toilet and shower, the walkways to the emergency exit were obstructed in the master bedroom and the cameras had microphones (in the kitchen area and along the side of the house and backyard). LPA inspected emergency preparedness procedures, required postings, and kits, including the first aid kit and found the required items. The fire extinguisher was not dated, but purchased 11/4/24 and the water temperature of the residents bathroom was measured at 118degrees between the required 105-120* F. Cont on pg C The facility is not in a condition to accept clients at this time, and LPA did not perform a staff interview or give the Comp III presentation. LPM assisted Ebony with the Technical Support Program(TSP) referral, and the LPA will return when the Licensee is more prepared. An exit interview was conducted and a copy of the report was read and delivered to the administrator via papercopy since the LPA and LPM experienced technical issues. Final print was conducted on 04/23/25 and a copy of this report was provided via email. A folllow up visit is scheduled at this time for May 9, 2025 at 930am.