Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with Administrator Kolu Sokodolo, Regional Director Lorenzo Pennix and staff, Ireneo Pascual. LPA informed the purpose of visit.

Facility has an approved LIC808 Mitigation Plan on file. Administrator submitted the facility's new Infection Control Plan and received by LPA on June 29, 2022.

LPA toured the facility inside out with Kolu Sokodolo. LPA inspected the living room, dining area, kitchen, hallways, bedrooms, common bathroom, 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 equipped with hand sanitizer, no touch temperature probe, surgical masks, disposable gloves and Visitor's Log. Visitor's temperature and symptom checks are done at the entrance. Residents and staff are screened for COVID-19 symptoms, and temperature checked and recorded daily. Facility keeps record of proof of vaccination of residents and staff. Supplies of PPEs checked and antigen test kits are readily available. Trash bins were observed with foot pedal operated lids. Bathroom lavatory was observed with liquid soap and paper towels in a dispenser.

Fire extinguishers checked and observed fully charge with tags showed serviced May 10, 2022. Hot water temperature in the common bathroom was tested and measured at 110.9 degrees Fahrenheit.