Facility Evaluation Report

On 12/27/2024 at 10:05 AM, Licensing Program Analyst (LPA) P. Manalo and arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Care Staff, Elma Cabrito, who phoned the Administrator and explained the purpose of the visit. Administrator, Edith Sarmiento, gave authorization on the phone for Elma to sign the report. Administrator certificate is current and expires on 06/12/2025. The facility’s fire clearance was approved for all six (6) ambulatory.

LPA toured the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms in which 1 room is occupied by staff and 4 bedrooms are occupied by the clients. There are no bodies of water. LPA 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 123.7 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. Centrally stored medication and sharps were locked and inaccessible to clients.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/10/2024. Emergency Disaster Plan was last posted on 04/02/2024. Fire drill was last conducted on 12/11/2024.

At 10:48 AM, 4 of clients records were reviewed. At 11:18 AM, 4 staff records were reviewed and 4 of 4 have current first aid training and 4 of 4 associated to the facility. At 11:41 AM, LPAs reviewed client's P&I money with log. At 11:51 AM, LPAs reviewed all clients' medications. All records were observed to be complete.