Facility Evaluation Report

On 02/18/2025 at 9:25 AM, Licensing Program Analyst (LPA) Patricia Manalo arrived unannounced to conduct a Required 1 Year Inspection. LPA met with LVN Staff, Estrella Turiano, who phoned the Administrator and explained the purpose of the visit. Administrator, Desiree Fredeluces, arrived shortly after. The fire clearance is approved for four (4) all may be non-ambulatory and bedridden.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which all bedrooms are occupied by the clients, one ADA bathroom, and one staff bathroom. There are no bodies of water. A comfortable temperature for clients is maintained at 74 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene's was available for clients. There is a minimum of one week supply of nonperishable and 2-day perishables food supply. Centrally stored medication were locked and inaccessible to clients.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/05/2024. Fire Drill was last conducted on 02/01/2025. Emergency Disaster Plan was last posted 11/10/2024. First aid kit was observed to be complete.

At 10:07 AM, 3 of clients records were reviewed. At 10:33 AM, 4 staff records were reviewed and have current first aid training. LPA reviewed clients' P&I money with log and there was no discrepancies observed. LPA reviewed two samples of clients' medications. All records were observed to be complete and up to date.