Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with staff, Annie Batangoso, and informed the purpose of visit. LPA called and spoke with Lilibeth Lopez (co-administrator) over the phone who arrived after several minutes. Arlene Pujante, administrator, arrived after Lilibeth Lopez.

Facility has an approved LIC808 Mitigation Plan on file.

LPA toured the facility with Annie Batangoso. LPA inspected the living room, dining area, kitchen, bathrooms. bedrooms, side and backyard. There's adequate food supplies of perishables good for 2 days and non-perishables good for 7 days.

LPA observed screening station by the front entrance with hand sanitizer and no touch temperature probe, and Visitor's Log. Visitor's temperature and symptom checks are done at entrance. Residents and staff are screened for COVID-19 symptoms and temperature checked daily. Facility keeps record of proof of vaccination of residents and staff, and antigen test kits are readily available. Supplies of PPEs were checked. and observed adequate for 30 days for 7 staff. Covid-19 signages/posters were observed all throughout the facility. Trash bins with foot pedal operated lids were observed.

At 5:42 pm, LPA observed expired milk in the refrigerator (expiration date: 5/18/2022).

Fire extinguisher checked and observed fully charge with tag showed serviced October 7, 2021. At 5:50 pm, LPA tested the hot water temperature in one of the bathrooms and measured at 110.6 degrees Fahrenheit. First aid kit inspected and observed complete with manual.