Mik Residential Services

Type of visit: Prelicensing

On 5/5/2025, Licensing Program Analyst (LPA) Rachel Bruce arrived at the above facility for the purpose of completing the pre licensing inspection process. LPA was greeted and provided tour by Administrator Moses Osaghae. Previously on 4/9/2025 LPA Bruce along with LPA Duarte conducted a pre licensing inspection resulting in no recommendation for licensure until certain areas of concern were addressed and remedied. Today's inspection reflects adequate and appropriate changes were made. Backyard- 4/9/25-there was uneven ground, no grass or sod, and a lot of weeds. Today, the backyard has been remedied by a large pad of cement where the grass was. The surface is clean, even, and in new condition. There has also been a table, chairs and umbrella purchased to provide seating and shade. Gate not self latching- This has been fixed. Spring has been attached to gate so it closes on its own. Fire extinguisher- New fire extinguisher purchased in April 2025. Receipt is attached to the extinguisher which is securely hung and easily accessible in living room. Water temperature- Water heater was adjusted and temperature in hallway bathroom is now within regulatory guidelines. Doggy door- Wood covering has been painted and secured where door was located on the back of the house leading to the office. Doggy door is now no longer accessible. As a result of appropriate changes being made, LPA Bruce is recommending that license be approved. A report and recommendation will be made to the Central Application Bureau. Administrator understands that upon retaining the first resident, he is to notify CCL for a post inspection to be completed. Exit interview conducted and a copy of this report was left with the Administrator.the state’s words, verbatim · CDSS document, May 5, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Rachel Bruce and Jimmy Duarte, arrived at the facility for a scheduled Pre-licensing visit. LPA was greeted by Administrator Moses Osaghae and allowed entry into the facility. LPAs toured the facility inside and outside. The facility was observed to be clean, free from clutter and was odor free. LPAs observed there are no residents present or living at the home at the time of inspection. The residence is currently listed as an Air BnB. The common area rooms were observed to have adequate furnishings, window coverings and lighting. All resident bedrooms were observed to be private and have the required furniture, to include beds with good mattresses, night stands, chairs and personal lighting. LPAs observed an adequate supply of extra bed linens and towels. Appropriate personal hygiene and grooming items will be purchased and stored in a locked cabinet in the hallway closet. Bathrooms were observed to be properly equipped with trash cans. Hot water temperature was observed to be 124.4 F in the kitchen sink and 126.9 F in the hallway bathroom. During the inspection, the administrator adjusted the water heater. Medications will be locked in the administrator's office. Cleaning supplies will be stored and locked in the garage. Knives will be locked in a drawer in the kitchen. First aid kit contains all the required items and is located in the kitchen. Fire extinguisher is located in the kitchen; however, inspection date is not current. Administrator will replace. Smoke detectors and carbon monoxide detectors were tested and found to be operating properly. Outside of the facility toured. Exits are free of obstruction. Gate will be self-latching. Continued in LIC809C Continued from LIC809 The backyard Sod area is not leveled, there is a weed control issue, and there is no seating or place for residents to recreate. There is a hole in the back wall leading to the office (dog door). Administrator will address and notify LPA when modifications are complete. Component III conducted during pre-licensing inspection. Pre-Licensing Inspection is complete. Applicant has not met all pre-licensing requirements. LPA Bruce will reinspect to determine if changes have been adequately made upon notice by the administrator. Once completed, LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.the state’s words, verbatim · CDSS document, Apr 9, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: INITIAL Capacity: 5 Census (if any clients in care): 0 COMP II Participants: MOSES OSAGHAE, IMADE OSAGHAE Interview Method: Telephone interview On January 28, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jan 28, 2025