Facility Evaluation Report

On this day, October 17, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection and met with staff, Demetrio Malonzo and Teresita 'Tita' Sta Maria. LPA called and left message on Aidan Castrence's (administrator) voice mail who returned and authorized Dionisio Opulento to be with LPA during inspection, and sign and receive this report. Dionisio Opulento arrived after several minutes. Administrator arrived at 5:00 pm.

Facility has Infection Control Plan that was submitted by the administrator and received by LPA on October 26, 2022.

LPA toured the facility inside out. 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.

Facility has smoke and carbon monoxide detectors that were observed functional. Hot water temperature in building # 2 was tested and measured at 112.9 degrees Fahrenheit . Staff stated they conduct disaster drills monthly, however, last drills on record was dated 5/17/23.

LPA reviewed 5 staff and 5 residents files, and interviewed 3 residents and 3 staff. Medications checked, and compared with records and doctor's orders. Residents cash resources records reviewed.