Facility Evaluation Report

On 11/26/2024 at 9:25 AM Licensing Program Analysts (LPAs) Patricia Manalo and Luisa Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Care Staff, Linda Alina, who phoned the back up Administrator the purpose of our visit. The back up Administrator, Amelia Alfonso, arrived shortly after. The facility’s fire clearance was approved for all six (6) ambulatory only.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. There are no bodies of water. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 114.3 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene's and linen supplies was available for clients. There is a minimum of one week supply of nonperishable and 2-day perishables food supply. Outdoor activity space was observed furnished with tables, chairs and shade.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/20/2024. First aid kit was observed to be complete. Emergency Disaster Drill was last posted on 07/22/2024. Fire Drill was last conducted on 07/06/2024.

At 9:35 AM, 4 of 4 clients records were reviewed. At 10:05 AM, 4 staff records were reviewed and 4 of 4 associated to the facility. At 11:30 AM, LPAs reviewed client's P&I money with log and there was no discrepancies observed. LPAs reviewed 4 of client's medications. All records were observed to be complete and up to date.