Facility Evaluation Report

On 01/31/2025 at 9:00AM, Licensing Program Analyst (LPA) Patricia Manalo arrived unannounced to conduct a Required 1 Year Inspection. DDS Nurse Consultant Joyce Singh arrived with LPA. LPA met with Licensing Vocational Nurse, Edward Falaam, who phoned the Administrator and explained the purpose of the visit. Administrator, Desiree Fredeluces, arrived shortly after. The fire clearance is approved for five (5) all may be bedridden.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which all bedrooms are occupied by the clients. There are no bodies of water. A comfortable temperature for clients is maintained at 69 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature was measured at 118.2 degree Fahrenheit. 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.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/05/2024. Emergency Disaster Drill was last posted on 01/24/2025. Emergency Disaster Plan was last posted 01/10/2025. First aid kit was observed to be complete.

At 9:58 AM, 5 of clients records were reviewed. At 10:36 AM, 4 staff records were reviewed and 4 of 4 have current first aid training and are associated to the facility. LPA reviewed client's P&I money with log and there was no discrepancies observed. LPA reviewed a sample of client's medications. All records were observed to be complete and up to date.