Facility Evaluation Report

On this day, November 9, 2024, at 3:00 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Ramnick 'Ram' Orola, staff, and informed the reason for visit. LPA also met with other staff, Ernesto Cochico. LPA called and left message on Adrian Escueta's (house manager; HM), voicemail. At 4:03 pm, HM returned LPA's call.

Facility has LIC9282 Infection Control Plan that was submitted and received by LPA on 11/30/2023.

LPA inspected the facility inside out with Ramnick Orola. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in one of the bathrooms was tested and measured at 106 degrees Fahrenheit. Facility conducts disaster drills and records showed last conducted 09/2024. Fire extinguisher was observed fully charge with tag showed serviced 03/19/2024.

LPA reviewed 5 staff and 5 residents files, and interviewed 1 resident. Medications checked, and compared with records and doctor's orders. Residents P&I checked and compared with records.

The following current/updated documents to be submitted by November 23, 2023:

1. LIC308 Designation of Facility Responsibility

3. LIC610D Emergency Disaster Plan (9 pages)