Facility Evaluation Report

On this day, September 21, 2023, at 10:50 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Estrella Bunag, staff, and informed the purpose of visit. LPA also met with other staff, Celine Medina. LPA called and spoke with Joseph Crisol, house manager, who authorized Estrella Bunag to be with LPA during inspection. LPA also called Susan Martinez, licensee-administrator, and left message on her voice mail.

Facility has Infection Control Plan that was submitted, and received by LPA on September 29, 2022.

LPA toured the facility inside out. The facility is a three level (street level, second floor and basement) building. LPA inspected the living and dining rooms, kitchen, residents' rooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Knives where kept 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 117.7 degrees Fahrenheit. Fire extinguisher checked, observed fully charge with tag showed serviced May 5, 2023. Facility conducts disaster drills, and records showed last conducted May 3, 2023.

LPA reviewed 5 staff and 5 residents files, and interviewed 2 staff and 2 residents. Medications checked, and compared with records and doctor's orders. Residents' P&Is were checked and compared with records.

-at 11:17 am, Lysol cleaning agent in the bathroom on the second floor.