Oakk Care Residential Facility for the Elderly

Type of visit: Prelicensing

On 10/10/25, at 1:00pm, Licensing Program Analyst (LPA) Perry Scott conducted an announced visit to Oakk Care Residential Facility For The Elderly. LPA was greeted by applicant, Adamma Amadi. LPA explained the purpose of today’s Pre-licensing inspection visit. An application was submitted to Community Care Licensing Division (CCLD) on 07/29/24 in the initial license application for a Residential Care Facility for the Elderly aged 60 and over. The applicant requested a capacity of six (6) non-ambulatory individuals; of which one (1) may be bedridden. Bedroom #1 approved for two (2) non-ambulatory, bedroom #2 approved for one (1) non-ambulatory, bedroom #3 approved for one (1) bedridden, and bedroom #4 approved for two (2) non-ambulatory residents. Garage not approved as a living area. A waiver was granted for hospice care of two (2) residents. Structure: The home is a four (4) bedroom, three (3) bathrooms, single-story home with an attached garage situated in a residential neighborhood. The home includes a living room, family room, kitchen, and laundry area. The living area included table, sofa, and a television. The kitchen has a refrigerator, stove, and microwave. The rear exterior is fenced throughout with a patio that includes a table and four (4) chairs. The passageways, walkways, and steps are free from obstructions. Report Continued on LIC809-C Bedrooms for Residents: The facility has four (4) bedrooms. All rooms include at least one (1) full-size/Queen bed, one (1) chair, one (1) night-stand, and table lamps. All bedrooms are equipped with ceiling lighting, and a dresser. All rooms have closets with ample storage space. Bedrooms for Staff: There is no bedroom designated for live-in staff. Bathrooms: The home has three (3) bathrooms. All bathrooms have a working toilet, washbasin, shower with grab bars, and non-skid mats. Linens & Hygiene Supplies: Beds have the required linen supplies which include, pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. An adequate supply of linen is stored in the hall storage area. Emergency Phone Numbers, Exit Plan & Menu: The emergency disaster plan is posted in the hallway along with the exit plan. There are two (2) fire extinguishers, one located in the dining area and the other in the attached garage. The facility has land-line telephones located in the kitchen and the garage. The applicant has submitted a mitigation plan. Food Service: Dishes, cups, and flatware are stored in the kitchen cabinets, inspected, and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked cabinet. Food supply is adequately stored in kitchen cabinets and consists of can and other dry goods. Report Continued on LIC809-C The facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days that were observed. Smoke Detectors: Smoke and carbon monoxide detectors throughout the interior space are operable. Toxins & Kitchen: All toxins are locked and stored under the kitchen sink. Stove burners, oven, washer and dryer are working. There is one (1) refrigerator in the kitchen. The refrigerator measured a temperature of at least 45 degrees Fahrenheit for appropriate food storage. The home is equipped with heaters and air conditioning. The facility has a deep freeze in the garage. Water Temperature: The hot water temperature measured 112.2F degrees in the kitchen and 105.1F degrees on average in both bathrooms. Medications, First-Aid Kit & Book: A first aid kit and manual will be stored in the storage area, which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, and gauze medication cabinet that is locked and inaccessible to clients. The client's medications will be stored in the medication cabinet which is locked and inaccessible to clients in the garage. The resident and staff records will be stored in the storage area which has a lock. Resident & Staff Files: Records of staff and residents will be stored in a locked storage area in the hallway of the home. Reading Material, Games: The facility has board games, books, magazines, and other recreational materials for the residents. Report Continued on LIC809-C Pool/Jacuzzi & Pets: There are no pets, jacuzzi, or pool in the fenced area. Fire clearance: A Fire Clearance inspection was conducted on 02/04/2025 and approved for a capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden. Bedroom #1 approved for two (2) non-ambulatory, bedroom #2 approved for one (1) non-ambulatory, bedroom #3 approved for one (1) bedridden, and bedroom #4 approved for two (2) non-ambulatory residents. Garage not approved as a living area. A waiver was granted for hospice care of two (2) residents. LPA did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on the front and back exits. Component III: LPA and the applicant completed the Component III PowerPoint presentation, which gives an overview of what to expect while running an Adult Residential Care Facility for the Elderly. During the pre-licensing inspection no items were observed which do not comply with applicable laws and regulations; no items require a follow up inspection for verification of correction. Pre-Licensing is complete, and this facility has no deficiencies. The department will submit a copy of this Facility Evaluation Report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application. An exit interview was conducted, and a hard copy of this Facility Evaluation Report has been furnished to the applicant, Adamma Amadi.the state’s words, verbatim · CDSS document, Oct 10, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participant: Adamma Amadi, CEO/Administrator Interview Method: Telephone interview On 9/18/25, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. 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. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Sep 18, 2025