Facility Evaluation Report

On this day, January 12, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Onesty Hill, and informed the reason for visit. LPA called and spoke over the phone with Lilibeth 'Beth' Ordiniza, administrator. Administrator arrived at around 1:15 p.m. with other staff, Martin Concepcion. LPA also met with other staff, Rachel Neak.

Administrator submitted the facility's Infection Control Plan which LPA received on January 11, 2024.

LPA toured the facility inside out with Onesty Hill. LPA inspected the kitchen, dining areas, living and family rooms. bedrooms, bathroom. side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications and storage for cleaning supplies were observed locked.

Facility has carbon monoxide and smoke detectors that were tested, and observed functional. Facility conducts earthquake and fire drills at least every quarter, and records showed last conducted December 2023 and November 2023 respectively. Fire extinguisher checked, observed fully charge with tag showed serviced May 31, 2023. Hot water temperature was tested.

LPA reviewed 5 staff and 5 residents records, and interviewed 2 staff and 2 residents. Medications were checked and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Record. P&I were checked against records.