Facility Evaluation Report

On this day, May 24, 2023, at 4:00 p.m., LPA Delmundo arrived to conduct an annual required inspection. LPA met with Annie Batangoso, administrator, and Lilibeth Lopez, back-up administrator, and informed the reason for visit. LPA also met with other staff, Arleen Pujante.

Facility has an approved LIC808 Mitigation Plan. The facility submitted the LIC9282 Infection Control Plan on 2022,

LPA inspected the facility inside and out including but not limited to living room, dining area, kitchen, bedrooms, bathrooms, garage, front, side and backyard. Facility has sufficient perishable and non-perishable foods. Fire extinguisher was observed fully charge with tag showed serviced November 28, 2022. Facility has carbon monoxide and smoke detectors that were tested and observed functional. Hot water temperature in the common bathroom was tested, and measured at 109.2 degrees Fahrenheit. Facility conducts disaster drills monthly, and records showed earthquake and fire drills last conducted April 16, 2023 and May 17, 2023 respectively. First aid kit inspected and observed complete with manual. Central storage for medications and cleaning supplies were observed lock.

LPA reviewed 5 staff and 4 residents files, and interviewed 2 staff and 1 resident. P&I money checked and reconciled with records. Medications were inspected and compared with records and doctor's orders on file,

At 6:30 p.m., LPA observed 3 residents were over 60 years of age.