Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with staff Dionisio 'Jong' Opolento, Teresita 'Tita' Sta Maria and Abraham Sta Maria,, and informed the purpose of visit. LPA called and spoke with Aidan Castrence, administrator, who authorized

Dionisio to be with LPA during inspection and Teresita to sign and receive this report.

Facility has an approved LIC808 Mitigation Plan on file. Administrator has not submitted the new Infection Control Plan and Monkeypox Infection Control Plan Staff were fit tested for N95 respirator last year, May 4. 2021.

LPA toured the facility inside out with Dionisio and Sta Maria. The facility has six buildings (building #'s 2, 3, 4, 5, recreation building and office). LPA inspected the buildings except the office. LPA inspected the bathrooms/toilets and randomly selected residents' bedrooms in building #'s 2, 3. 4. and 5. LPA also inspected the recreation building, common areas, dining room, kitchen, hallways, 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 located by the entrance door inside the recreation building with hand sanitizer and no touch temperature probe. Visitor's temperature and symptom checks and recorded on Vistior's log. Residents and staff are screened for COVID-19 symptoms, and temperature checked and recorded daily. Supplies of PPEs inspected and observed adequate for 30 days, and antigen test kits are readily available. Bathroom lavatories were observed with liquid soap and paper towels in dispensers.